Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes

Abstract Objective This umbrella review aims to evaluate the clinical outcomes of robotic‐assisted thyroid surgery compared to traditional endoscopic and open surgical approaches. Data Sources We conducted a systematic search of PubMed, EMBASE, and Cochrane Database through August 2024. Review Metho...

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Main Authors: Si‐Yue Yin, Ping‐Ting Zhou, Zi‐Hui Xie, Chuan‐Lu Shen, Fen‐Fen Li, Bing‐Yu Liang, Yi‐Pin Yang, Zi‐Yue Fu, Jian‐Peng Wang, Yan‐Xun Han, Shan‐Wen Chen, Cong‐Jun Zhang, Ye‐Hai Liu, Yi Zhao, Yu‐Chen Liu
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:OTO Open
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Online Access:https://doi.org/10.1002/oto2.70120
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author Si‐Yue Yin
Ping‐Ting Zhou
Zi‐Hui Xie
Chuan‐Lu Shen
Fen‐Fen Li
Bing‐Yu Liang
Yi‐Pin Yang
Zi‐Yue Fu
Jian‐Peng Wang
Yan‐Xun Han
Shan‐Wen Chen
Cong‐Jun Zhang
Ye‐Hai Liu
Yi Zhao
Yu‐Chen Liu
author_facet Si‐Yue Yin
Ping‐Ting Zhou
Zi‐Hui Xie
Chuan‐Lu Shen
Fen‐Fen Li
Bing‐Yu Liang
Yi‐Pin Yang
Zi‐Yue Fu
Jian‐Peng Wang
Yan‐Xun Han
Shan‐Wen Chen
Cong‐Jun Zhang
Ye‐Hai Liu
Yi Zhao
Yu‐Chen Liu
author_sort Si‐Yue Yin
collection DOAJ
description Abstract Objective This umbrella review aims to evaluate the clinical outcomes of robotic‐assisted thyroid surgery compared to traditional endoscopic and open surgical approaches. Data Sources We conducted a systematic search of PubMed, EMBASE, and Cochrane Database through August 2024. Review Methods We conducted a comprehensive analysis of systematic reviews and meta‐analyses that compare robotic‐assisted thyroid surgery with endoscopic or open methods. The primary outcomes assessed include surgical efficiency indicators, general postoperative complications, specific complications (nerve and endocrine), postoperative recovery and patient experience, and recurrence and long‐term prognosis. The methodological quality of the included reviews was assessed using the AMSTAR2 tool. Results Of the 1987 articles retrieved, 21 were eligible. Robotic surgery, though associated with longer operative times, offers distinct advantages in terms of precision. Although robotic surgery shows some variation in central lymph node dissection and an increase in postoperative drainage, its safety is comparable to both open and endoscopic techniques. Additionally, robotic surgery demonstrates superior cosmetic outcomes and shorter hospital stays from multiple approaches, though its high costs remain a significant factor. In terms of recurrence and survival rates, no significant differences were observed between robotic and open surgery. Conclusion Robotic surgery choices should balance benefits, costs, and patient needs. As technology and skills improve, efficiency and cost‐effectiveness may increase, expanding its clinical role.
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spelling doaj-art-1bb5647465b44f3d8b9ff4f7b98a8c652025-06-27T04:52:46ZengWileyOTO Open2473-974X2025-04-0192n/an/a10.1002/oto2.70120Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical OutcomesSi‐Yue Yin0Ping‐Ting Zhou1Zi‐Hui Xie2Chuan‐Lu Shen3Fen‐Fen Li4Bing‐Yu Liang5Yi‐Pin Yang6Zi‐Yue Fu7Jian‐Peng Wang8Yan‐Xun Han9Shan‐Wen Chen10Cong‐Jun Zhang11Ye‐Hai Liu12Yi Zhao13Yu‐Chen Liu14Department of Oncology The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Oncology The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Oncology The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Oncology The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaDepartment of Otolaryngology, Head and Neck Surgery The First Affiliated Hospital of Anhui Medical University Hefei Anhui ChinaAbstract Objective This umbrella review aims to evaluate the clinical outcomes of robotic‐assisted thyroid surgery compared to traditional endoscopic and open surgical approaches. Data Sources We conducted a systematic search of PubMed, EMBASE, and Cochrane Database through August 2024. Review Methods We conducted a comprehensive analysis of systematic reviews and meta‐analyses that compare robotic‐assisted thyroid surgery with endoscopic or open methods. The primary outcomes assessed include surgical efficiency indicators, general postoperative complications, specific complications (nerve and endocrine), postoperative recovery and patient experience, and recurrence and long‐term prognosis. The methodological quality of the included reviews was assessed using the AMSTAR2 tool. Results Of the 1987 articles retrieved, 21 were eligible. Robotic surgery, though associated with longer operative times, offers distinct advantages in terms of precision. Although robotic surgery shows some variation in central lymph node dissection and an increase in postoperative drainage, its safety is comparable to both open and endoscopic techniques. Additionally, robotic surgery demonstrates superior cosmetic outcomes and shorter hospital stays from multiple approaches, though its high costs remain a significant factor. In terms of recurrence and survival rates, no significant differences were observed between robotic and open surgery. Conclusion Robotic surgery choices should balance benefits, costs, and patient needs. As technology and skills improve, efficiency and cost‐effectiveness may increase, expanding its clinical role.https://doi.org/10.1002/oto2.70120robotic surgerythyroid surgeryumbrella review
spellingShingle Si‐Yue Yin
Ping‐Ting Zhou
Zi‐Hui Xie
Chuan‐Lu Shen
Fen‐Fen Li
Bing‐Yu Liang
Yi‐Pin Yang
Zi‐Yue Fu
Jian‐Peng Wang
Yan‐Xun Han
Shan‐Wen Chen
Cong‐Jun Zhang
Ye‐Hai Liu
Yi Zhao
Yu‐Chen Liu
Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes
OTO Open
robotic surgery
thyroid surgery
umbrella review
title Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes
title_full Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes
title_fullStr Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes
title_full_unstemmed Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes
title_short Robotic Revolution in Thyroid Surgery: An Umbrella Review of Clinical Outcomes
title_sort robotic revolution in thyroid surgery an umbrella review of clinical outcomes
topic robotic surgery
thyroid surgery
umbrella review
url https://doi.org/10.1002/oto2.70120
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