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Hypoparathyroidism
Oncology

Study finds robotic thyroidectomy reduces complications in thyroid cancer treatment

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Robotic thyroidectomy (RT) appears to have significant advantages over open thyroidectomy (OT) in reducing complications such as transient hypoparathyroidism, permanent hypoparathyroidism, and transient recurrent laryngeal nerve injury, according to a study.

The cohort study analyzed short-term outcomes of 11,066 patients who underwent OT, endoscopic thyroidectomy (ET), and RT for thyroid cancer. Propensity score matching (PSM) was used to balance patient characteristics, resulting in 908 matched pairs for ET versus OT and 1,480 matched pairs for RT versus OT.

Patients undergoing RT had a significantly lower rate of transient hypoparathyroidism (22.9% vs 46.4%), permanent hypoparathyroidism (0.3% vs 1.1%), and transient recurrent laryngeal nerve injury (4.3% vs 6.0%).

These findings suggest that robotic surgery may offer an advantage in reducing certain complications in thyroid cancer treatment.

Reference
Li T, Gui Y, Cui X, et al. Comparison of Short-term Outcomes Following Minimally Invasive (Endoscopic/Robotic) vs Open Thyroidectomy for Patients With Thyroid Cancer. Eur Thyroid J. 2025;ETJ-24-0134. doi: 10.1530/ETJ-24-0134. Epub ahead of print. PMID: 39846951.

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