{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:26:38Z","timestamp":1793305598303,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T00:00:00Z","timestamp":1544486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T00:00:00Z","timestamp":1544486400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/501100003621","name":"Ministry of Science, ICT and Future Planning","doi-asserted-by":"publisher","award":["NRF\u20102016R1E1A1A01942072"],"award-info":[{"award-number":["NRF\u20102016R1E1A1A01942072"]}],"id":[{"id":"10.13039\/501100003621","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,4,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Endoscopic transoral thyroidectomy is a recently introduced technique of remote access thyroidectomy. We previously reported the feasibility of the robotic approach (TORT). Nevertheless, experience to date is limited, with scant data on outcomes in patients with papillary thyroid carcinoma (PTC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective analysis of prospectively collected data. Patients with PTC, who underwent TORT at a single center between March 2016 and February 2017, were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were a total of 100 patients (85 women, 15\u00a0men) with a mean age of 40.7\u2009\u00b1\u20099.8 years, and a mean tumor size of 0.8\u2009\u00b1\u20090.5\u00a0cm. Nine patients underwent a total thyroidectomy, and 91 underwent a lobectomy. The operative time for a total thyroidectomy and lobectomy was 270.0\u2009\u00b1\u20099.3 and 210.8\u2009\u00b1\u200932.9\u00a0min, respectively. Ipsilateral prophylactic central neck compartment dissection was performed routinely with retrieval of 5.0\u2009\u00b1\u20093.6 lymph nodes. Perioperative morbidity was present in nine patients including transient recurrent laryngeal nerve palsy (<jats:italic>n<\/jats:italic>\u2009=\u20091), postoperative bleeding requiring surgical intervention (<jats:italic>n<\/jats:italic>\u2009=\u20091), zygomatic bruising (<jats:italic>n<\/jats:italic>\u2009=\u20092), chin flap perforation (<jats:italic>n<\/jats:italic>\u2009=\u20091), oral commissure tearing (<jats:italic>n<\/jats:italic>\u2009=\u20092), and chin dimpling (<jats:italic>n<\/jats:italic>\u2009=\u20092). There was no conversion to endoscopic or conventional open thyroid surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, TORT could be safely performed in a large series of patients with PTC without serious complications. In selected patients, TORT by experienced surgeons could be considered an alternative approach for remote access thyroidectomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-04877-w","type":"journal-article","created":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T18:38:19Z","timestamp":1544553499000},"page":"1038-1046","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Transoral Robotic Thyroidectomy for Papillary Thyroid Carcinoma: Perioperative Outcomes of 100 Consecutive Patients"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4425-972X","authenticated-orcid":false,"given":"Hong Kyu","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery, KUMC Thyroid Center, Korea University Hospital Korea University College of Medicine 73, Inchon\u2010ro, Seongbuk\u2010gu 02841 Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Jun","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University Boramae Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianlorenzo","family":"Dionigi","sequence":"additional","affiliation":[{"name":"Division of Endocrine Surgery, Department of Human Pathology in Adulthood and Childhood \u201cG. Barresi\u201d, University Hospital \u201cG. Martino\u201d University of Messina Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eren","family":"Berber","sequence":"additional","affiliation":[{"name":"Center for Endocrine Surgery Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph P.","family":"Tufano","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery The Johns Hopkins University School of Medicine Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoon Yub","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, KUMC Thyroid Center, Korea University Hospital Korea University College of Medicine 73, Inchon\u2010ro, Seongbuk\u2010gu 02841 Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,11]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010009\u20100820\u20109"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010010\u20100846\u20100"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010012\u20102588\u20106"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2013.0218"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010014\u20101187\u20105"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103320\u20101"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701\u2010011\u20100287\u20102"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.06.010"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701\u2010016\u20100661\u20101"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2017.93.2.70"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0291"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002001"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.21037\/gs.2016.11.04"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010016\u20105322\u2010y"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.21037\/gs.2016.12.05"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40618\u2010017\u20100676\u20100"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010014\u20103749\u20106"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.3803\/EnM.2014.29.3.226"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010017\u20105724\u20105"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182a4bfec"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.16956\/kjes.2015.15.4.73"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010010\u20101113\u2010z"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010012\u20102557\u20102"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21782"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2015.0561"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2017.06.001"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2011.0395"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2016.90.5.239"}],"container-title":["World 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December 2018","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Hong Kyu Kim, Young Jun Chai, Gianlorenzo Dionigi, Eren Berber, Ralph P. 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