{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T15:10:18Z","timestamp":1783091418363,"version":"3.54.6"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,6,5]],"date-time":"2022-06-05T00:00:00Z","timestamp":1654387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To define the conversion risk to open procedure during robot\u2010assisted thyroid surgery (RATS) identifying potential specific subclasses of procedures or accesses at higher conversion risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a PRISMA\u2010compliant framework, all original prospective studies providing RATS conversion rates from multiple databases were pooled in a random\u2010effects meta\u2010analysis. Conversion rates were compared between different typologies of thyroid surgery and robotic access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>13 studies were deemed eligible. Four conversions from two studies were reported out of 398 procedures. No significant heterogeneity was observed (Cochran's <jats:italic>Q p<\/jats:italic>\u00a0=\u00a00.932; <jats:italic>I<\/jats:italic>2\u00a0=\u00a00%). The pooled conversion rate was 1% (95% confidence interval, 0.1%\u20132%). The ANOVA\u2010Q test failed to show significant differences when comparing type of thyroid surgery or robotic access (respectively <jats:italic>p<\/jats:italic>\u00a0=\u00a00.766 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.457).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While the conversion rate appears consistently low across studies, prospective data collection and systematic reporting of procedural complications are required for framing high\u2010risk procedures and accesses.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2427","type":"journal-article","created":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T02:28:28Z","timestamp":1653877708000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Conversion rates in robotic thyroid surgery: A systematic review and 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