{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T17:07:32Z","timestamp":1784221652171,"version":"3.55.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Transoral thyroidectomy via vestibular approach has gained increasing acceptance due to its excellent cosmetic outcomes. Transoral robotic thyroidectomy (TORT) represents a further technical evolution, potentially offering enhanced options of instrument movement and visualization. However, no reports from Europe were yet published. We report the first TORT performed in Germany in a 56-year-old female presenting with a symptomatic 20\u2009\u00d7\u200916\u00a0mm sized nodule in the right thyroid lobe measuring 14\u00a0ml. A right hemithyroidectomy was performed using TORT with the daVinci Xi\u00ae robotic system. Total operative time was 230\u00a0min. The postoperative course was uneventful, and the patient was discharged on postoperative day 3. TORT is feasible and safe in selected patients also in the German hospital setting, although the additional costs are not reimbursed by the German health system. This case demonstrates the technical applicability and highlights key procedural steps for implementation.<\/jats:p>","DOI":"10.1093\/jscr\/rjag595","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T16:46:41Z","timestamp":1784220401000},"source":"Crossref","is-referenced-by-count":0,"title":["Implementation of transoral robotic thyroid surgery in a European tertiary center"],"prefix":"10.1093","volume":"2026","author":[{"given":"Detlef K","family":"Bartsch","sequence":"first","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery, University Hospital Marburg, UKGM \u00a0 Marburg, Baldingerstrasse, 35043 Marburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Karakas","sequence":"additional","affiliation":[{"name":"Department of General and Abdominal Surgery, Clinical Centre Oberberg , Wilhelm-Breckow-Allee 20, 51643 Gummersbach ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Schwedhelm","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery, University Hospital Marburg, UKGM \u00a0 Marburg, Baldingerstrasse, 35043 Marburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Zink","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery, University Hospital Marburg, UKGM \u00a0 Marburg, Baldingerstrasse, 35043 Marburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl M","family":"Meggiolaro","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, University Hospital Marburg, UKGM \u00a0 Marburg, Baldingerstrasse, 35043 Marburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Maurer","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery, University Hospital Marburg, UKGM \u00a0 Marburg, Baldingerstrasse, 35043 Marburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"2026071612463811900_ref1","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1007\/s00268-015-3320-1","article-title":"Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases","volume":"40","author":"Anuwong","year":"2016","journal-title":"World J Surg"},{"key":"2026071612463811900_ref2","doi-asserted-by":"publisher","first-page":"774","DOI":"10.1007\/s00268-020-05874-8","article-title":"Transoral thyroidectomy: safety and outcomes of 200 consecutive North American cases","volume":"45","author":"Russell","year":"2021","journal-title":"World J Surg"},{"key":"2026071612463811900_ref3","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1007\/s00104-018-0658-6","article-title":"Tips and technical issues for performing transoral endoscopic thyroidectomy with vestibular approach (TOETVA): a novel scarless technic for neck surgery","volume":"89","author":"Zorron","year":"2018","journal-title":"Chirurg"},{"key":"2026071612463811900_ref4","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s00104-018-0635-0","article-title":"Transoral thyroid and parathyroid surgery: implementation and evaluation of the transoral endoscopic technique via the vestibular approach","volume":"89","author":"Karakas","year":"2018","journal-title":"Chirurg"},{"key":"2026071612463811900_ref5","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1007\/s00268-023-06932-7","article-title":"Transoral thyroidectomy: initial results of the European TOETVA Study Group","volume":"47","author":"Arikan","year":"2023","journal-title":"World J Surg"},{"key":"2026071612463811900_ref6","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1007\/s13304-021-01191-4","article-title":"Transoral thyroid surgery vestibular approach: is there an increased risk of surgical site infections?","volume":"74","author":"Karakas","year":"2022","journal-title":"Updates Surg"},{"key":"2026071612463811900_ref7","doi-asserted-by":"publisher","first-page":"1627","DOI":"10.1016\/j.surg.2024.08.005","article-title":"Transoral robotic thyroidectomy: lessons learned from consecutive series of 1,000 patients","volume":"176","author":"Oh","year":"2024","journal-title":"Surgery"},{"key":"2026071612463811900_ref8","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1097\/SLE.0000000000000587","article-title":"Transoral robotic thyroidectomy: comparison of surgical outcomes between the da Vinci Xi and Si","volume":"28","author":"Kim","year":"2018","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2026071612463811900_ref9","doi-asserted-by":"publisher","first-page":"5486","DOI":"10.3390\/jcm13185486","article-title":"One-year clinical experience of single-port and multi-port robotic thyroid surgery in a single institution","volume":"13","author":"Lee","year":"2024","journal-title":"J Clin Med"},{"key":"2026071612463811900_ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/19160216241304384","article-title":"Three-in-one wonder: a retrospective cohort study on modified robotic-assisted transoral thyroidectomy","volume":"53","author":"Wen","year":"2024","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"2026071612463811900_ref11","doi-asserted-by":"publisher","first-page":"688","DOI":"10.1002\/hed.27644","article-title":"Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: a systematic review and network meta-analysis","volume":"46","author":"Nguyen","year":"2024","journal-title":"Head Neck"}],"container-title":["Journal of Surgical Case 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