{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:53:38Z","timestamp":1786550018542,"version":"build-2736575974"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Robotic thyroid surgery (RTS) has gained popularity due to its minimal invasiveness and improved cosmetic outcomes. However, complications like hypoparathyroidism, bleeding, and infection can occur before surgeons\u2019 learning curve completion. The purpose of present research is to develop and validate a predictive model for complications in RTS prior to their learning curve completion. We retrospectively analyzed data from 236 cases accepted RTS at our institution from Jan 2020 to Dec 2022. The data of included cases were classified into training set (n\u2009=\u2009165) and validation set (n\u2009=\u200971). Data on clinical characteristics, surgical details, and postoperative outcomes were collected. Several regression analysis models were applied to identify independent factors of complications. A nomogram was constructed and validated using the training and validation sets. The overall complication rate was 29.24% (69\/236 patients). Multivariate analysis identified BMI (odds ratio [OR]\u2009=\u20093.52, 95% Confidence Interval [CI]: 1.179\u201311.05), Hashimoto\u2019s thyroiditis (OR\u2009=\u20091.69, 95% CI: 1.44\u20132.05) and tumor size (OR\u2009=\u20092.37, 95% CI: 1.10\u20135.18) as independent predictors of complications. Based on these predictors, nomogram was constructed. The C-index was 0.8574 (95% CI: 0.762\u20130.9529) in validation set, indicating good predictive accuracy. This study proposed and validated a nomogram model to predict complications in RTS prior to their learning curve completion. This model can assist clinicians in preoperative counseling and decision-making to minimize surgical risks.<\/jats:p>","DOI":"10.1007\/s13304-026-02776-7","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:11:10Z","timestamp":1786547470000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and validation of a predictive model for complications in robotic thyroid surgery"],"prefix":"10.1007","author":[{"given":"Yuhan","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Xue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolin","family":"Yue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guojun","family":"Xue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxin","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peigen","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"issue":"4","key":"2776_CR1","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1016\/S2213-8587(22)00035-3","volume":"10","author":"M Pizzato","year":"2020","unstructured":"Pizzato M, Li M, Vignat J et al (2020) The epidemiological landscape of thyroid cancer worldwide: GLOBOCAN estimates for incidence and mortality rates in 2020. Lancet Diabetes Endocrinol 10(4):264\u2013272","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"5","key":"2776_CR2","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1089\/thy.2021.0662","volume":"32","author":"UC Megwalu","year":"2018","unstructured":"Megwalu UC, Moon PK (2018) Thyroid cancer incidence and mortality trends in the United States: 2000-2018. Thyroid 32(5):560\u2013570","journal-title":"Thyroid"},{"issue":"3","key":"2776_CR3","doi-asserted-by":"publisher","first-page":"265","DOI":"10.20945\/2359-3997000000379","volume":"65","author":"GHP Boog","year":"2021","unstructured":"Boog GHP, Kasmirski JA, Hojaij FC (2021) Conventional thyroidectomy: what is the impact of the scar on the lives of operated patients. Arch Endocrinol Metab 65(3):265\u2013268","journal-title":"Arch Endocrinol Metab"},{"key":"2776_CR4","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2018.00416","volume":"9","author":"TK Ha","year":"2018","unstructured":"Ha TK, Kim DW, Park HK et al (2018) Comparison of postoperative neck pain and discomfort, swallowing difficulty, and voice change after conventional open, endoscopic, and robotic thyroidectomy: a single-center cohort study. Front Endocrinol (Lausanne) 9:416","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"6","key":"2776_CR5","doi-asserted-by":"publisher","first-page":"1653","DOI":"10.1007\/s13304-023-01619-z","volume":"75","author":"G Materazzi","year":"2023","unstructured":"Materazzi G, Papini P, Fregoli L et al (2023) The learning curve on robot-assisted transaxillary thyroidectomy performed by a single endocrine surgeon in a third-level institution in Europe: a cumulative sum (CUSUM) analysis. 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Head Neck 36(1):137\u2013143","journal-title":"Head Neck"},{"issue":"6","key":"2776_CR10","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1016\/j.surg.2023.02.021","volume":"173","author":"YJ Kang","year":"2023","unstructured":"Kang YJ, Stybayeva G, Hwang SH (2023) Surgical completeness and safety of minimally invasive thyroidectomy in patients with thyroid cancer: a network meta-analysis. Surgery 173(6):1381\u20131390","journal-title":"Surgery"},{"issue":"2","key":"2776_CR11","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1007\/s13304-022-01244-2","volume":"74","author":"L Rossi","year":"2022","unstructured":"Rossi L, Buoni V, Fregoli L, Papini P, De Palma A, Materazzi G (2022) Postsurgical complications after robot-assisted transaxillary thyroidectomy: critical analysis of a large cohort of European patients. 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