Journal of Robotic Surgery

, Volume 11, Issue 3, pp 341–346 | Cite as

Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform

  • Jonathon O. Russell
  • Salem I. Noureldine
  • Mai G. Al Khadem
  • Hamad A. Chaudhary
  • Andrew T. Day
  • Hoon Yub Kim
  • Ralph P. Tufano
  • Jeremy D. RichmonEmail author
Original Article


Transoral thyroid surgery allows the surgeon to conceal incisions within the oral cavity without significantly increasing the amount of required dissection. TORT provides an ideal scarless, midline access to the thyroid gland and bilateral central neck compartments. This approach, however, presents multiple technical challenges. Herein, we present our experience using the latest generation robotic surgical system to accomplish transoral robotic thyroidectomy (TORT). In two human cadavers, the da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was used to complete TORT. Total thyroidectomy and bilateral central neck dissection was successfully completed in both cadavers. The da Vinci Xi platform offered several technologic advantages over previous robotic generations including overhead docking, narrower arms, and improved range of motion allowing for improved execution of previously described TORT techniques.


Transoral Robotic Thyroidectomy Vestibular da Vinci Xi Remote access 


Compliance with ethical standards

Conflict of interest

Jonathon O. Russell, MD; Salem I. Noureldine, MD; Mai Al Khadem, MBBCh; Hamad A. Chaudhary, MD; Andrew T. Day, MD; Hoon Yub Kim, MD, PhD; Ralph P. Tufano, MD; and Jeremy D. Richmon, MD declare that they do not have any conflicts of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.


Intuitive Surgical (Sunnyvale, CA, USA) provided material support for this study. Intuitive Surgical had no role in the design and conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Supplementary material

Supplementary material (MP4 563031 kb)


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Copyright information

© Springer-Verlag London 2017

Authors and Affiliations

  1. 1.Department of Otolaryngology-Head and Neck SurgeryThe Johns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of SurgeryKorea University College of MedicineSeoulKorea
  3. 3.Department of OtolaryngologyMassachusetts Eye and Ear InfirmaryBostonUSA

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