Prevention of transoral thyroidectomy complications
The study suggests that those surgeons who are more familiar with robotic surgeries can carry out transoral thyroidectomy without causing many complications. The study was published in the journal Surgery.

This study analyzed the causes and prevention of transoral robotic thyroidectomy–specific complications and presented preventive measures.

The medical records of 423 patients who underwent transoral robotic thyroidectomy performed by a single surgeon were retrospectively analyzed. Patient demographic, clinical, and operative data were analyzed using descriptive statistics. Investigators describe the transoral robotic thyroidectomy–related complications experienced at the institution and how to overcome them.

--The general surgical complications included immediate postoperative bleeding and delayed hematoma. Chyle leakage and localized wound infection were found in 1 case each. Transient vocal cord palsy occurred in 4 cases, and 1 case developed transient hyperparathyroidism.

--The transoral robotic thyroidectomy–specific complications included zygoma bruise, flap bruise, chin flap perforation, and oral commissure tearing.

--The complications occurring when creating the flap included flap burns, skin dimpling in the midline of the lower chin and hematomas in the intraoral trocar insertion sites.

In particular, surgeons familiar with thyroid surgery and experienced in robotic surgery can perform transoral robotic thyroidectomy without causing more complications than those seen with traditional surgery.

Source: https://doi.org/10.1016/j.surg.2021.05.003
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