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COMPARATIVE ANALYSIS OF TRANSORAL ROBOTIC VERSUS CONVENTIONAL THYROIDECTOMY BY EARLY-CAREER SURGEON
DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, SCHOOL OF MEDICINE, DAEGU CATHOLIC UNIVERSITY©ö, DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY, COLLEGE OF MEDICINE, HANYANG UNIVERSITY©÷
DONG-WON LEE, DONG-WON LEE©ö, JEONG-KYU KIM©ö, KYUNG TAE©÷
¸ñÀû: Transoral robotic thyroidectomy (TORT) has emerged as a promising scarless approach for thyroid surgery. While previous studies have focused on TORT outcomes by experienced conventional thyroid surgeons, the feasibility and safety of TORT adoption by early-career surgeons remain unexplored. This study aims to evaluate the learning curve, surgical outcomes, and patient satisfaction when TORT is implemented by a surgeon with limited conventional thyroidectomy experience. ¹æ¹ý:We conducted a retrospective analysis comparing 60 consecutive TORT cases with 60 conventional open thyroidectomy cases performed by a single surgeon with limited initial experience (12 cases) in conventional thyroidectomy. Patient demographics, operative outcomes, complications, and cosmetic satisfaction were evaluated. °á°ú:The mean age was significantly lower in the TORT group compared to the conventional group (46.3 ¡¾ 8.5 vs. 58.2 ¡¾ 9.2 years, p < 0.001). The mean operative time was significantly longer in the TORT group compared to the conventional group (218.2 ¡¾ 45.3 vs. 129.5 ¡¾ 38.3 minutes, p < 0.001). Temporary recurrent laryngeal nerve palsy occurred in 6.7% (4/60) of TORT cases and 5% (3/60) of conventional cases (p = 0.695), and temporary hypoparathyroidism was observed in 6.7% (4/60) and 8.3% (5/60) of cases, respectively (p = 0.730). No permanent complications were observed in either group. Cosmetic satisfaction scores were significantly higher in the TORT group (mean VAS score: 9.2 ¡¾ 0.8) compared to the conventional group (mean VAS score: 6.8 ¡¾ 1.2, p < 0.001). °á·Ð:This study demonstrates that TORT can be safely implemented by early- career surgeons with comparable complication rates to conventional thyroidectomy, despite requiring a longer operative time. The superior cosmetic outcomes support TORT as a viable alternative, even during the early phase of surgical experience.


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