Transoral robotic-assisted thyroidectomy with central neck dissection: Preclinical cadaver feasibility study and proposed surgical technique

Jeremy D. Richmon, F. Christopher Holsinger, Emad Kandil, Michael W. Moore, Jose Armando Garcia, Ralph P. Tufano

Research output: Contribution to journalArticle


Recently, a transoral robotic-assisted technique to access the thyroid gland has been introduced. Despite the advantages this approach may have over other minimally invasive and robotic-assisted techniques, we found that the placement of the camera through the floor of mouth led to restricted freedom of movement. We describe our modification to this technique to overcome this problem. In a study using two fresh human cadavers, the camera port of the da Vinci robot was placed in the midline oral vestibule instead of the floor of the mouth. A transoral thyroidectomy and central neck dissection was successfully performed. Our modification led to an unfettered view of the central neck and allowed for a total thyroidectomy and central neck dissection. Our modification of transoral robotic-assisted thyroidectomy provides superior access to the central compartment of the neck over other robotic-assisted thyroidectomy techniques.

Original languageEnglish (US)
Pages (from-to)279-282
Number of pages4
JournalJournal of Robotic Surgery
Issue number4
StatePublished - Dec 1 2011



  • Central neck
  • Minimally invasive
  • Robot
  • Robotic-assisted surgery
  • Thyroid
  • Transoral thyroidectomy

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

Cite this