Indian Journal of Surgical Oncology

, Volume 9, Issue 2, pp 241–246 | Cite as

Initiating a Robotic Thyroidectomy Program in India

  • Krishnakumar Thankappan
  • Subramania Iyer
Review Article


Robotic surgery has been successfully used for many surgical indications in head and neck surgery. Robotic thyroidectomy is getting accepted worldwide, but the majority of the literature is from South Korea. The purpose of the paper is to review and give a personal perspective on how a robotic thyroidectomy program was initiated in a tertiary care academic medical institution in India. Advantages of robotic approaches are the three-dimensional visualization, precision, dexterity, and surgeon ergonomics. Cost is an important concern. Training includes basic robotics skill training, cadaveric training, observership, and hands-on training. Sufficient preclinical and clinical training is essential before embarking onto the newer surgical modality. Surgeon credentialing, though institution dependent, has specific guidelines. Case selection is the key, especially in the initial learning curve. The authors prefer the retroauricular approach for robotic thyroidectomy, and our initial experience in the first ten cases of total thyroidectomy was encouraging.


Robotic thyroidectomy Retroauricular approach Thyroid cancers Learning curve Remote access thyroidectomy 


Authors’ Contributions

Both the authors: design of the work; data acquisition, concept of the paper, literature review, analysis, interpretation, draft contribution, and approval of the final version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Indian Association of Surgical Oncology 2018

Authors and Affiliations

  1. 1.Department of Head and Neck Surgery, Amrita Institute of Medical SciencesAmrita UniversityKochiIndia

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