Am J Otolaryngol Head Neck Surg | Volume 4, Issue 10 | Research Article | Open Access

Our Robotic Surgery Experience Thyroidectomy of Graves’ Disease: Is it a Feasible and Safe Procedure?

Esmat Najjar1,2,3* and Patrick Aidan2

1Department of Otolaryngology, Head & Neck Surgery, Rabin Medical Center, Israel
2ENT Unit, American Hospital of Paris, France
3Sackler Faculty of Medicine, Tel Aviv University, Israel

*Correspondance to: Esmat Najjar 

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Background: Thyroid surgery technique has undergone significant changes in recent years from traditional open approach to robotic surgery. This evolution has recently included surgery for Graves’s disease that always was a challenging condition for surgeons, moreover when it is performed by transaxillary robotic assist. The aim of this paper is to define the indications, feasibility
and the safety of this procedure in Graves’ disease.

Material and Methods: A Retrospective cohort study of patients who underwent transaxillary robotic assisted thyroidectomy at the American Hospital of Paris (AHP) during 2010-9/2017.

All patients were operated by same surgeon (P.A) at the American Hospital of Paris (AHP).

Results: A total of 46 patients with known Graves’ disease were reviewed and analyzed. Four patients were excluded due to incomplete data.

Forty two patients were included in this study, 3 males and 39 females. Mean age was 37.2 years. No major events were observed, no special complications were reported regarding bleeding amount, and vocal cord paralysis or hypocalcemia. Length of stay was 0.9 ± 0.5 days. Operative time was (165.8 ± 36.5 min). The mean follow-up time was 24.6 months.

Conclusion: The transaxillary robotic approach for thyroid surgery has become a viable alternative to traditional open or endoscopic methods and has been predicted to gain momentum and popularity in the future. The indications for this technique are continually expanding; beyond the cosmetic benefits, robotic transaxillary thyroidectomy is a technically feasible and safe procedure for the patients with Graves’ disease. Furthermore, careful patient selection and reducing the range of indication especially for the first dozens cases is essential to achieve consistently successful results.


Graves’ disease; Robotic thyroidectomy; Transaxillary approach


Najjar E, Aidan P. Our Robotic Surgery Experience Thyroidectomy of Graves’ Disease: Is it a Feasible and Safe Procedure?. Am J Otolaryngol Head Neck Surg. 2021; 4(10): 1163..

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