Objective:This study evaluates the feasibility and safety of modular Carina surgical robot system for thyroidectomy.Methods:In this prospective single-arm trial, 8 patients with papillary thyroid carcinoma were enrolled at Yantai Yuhuangding Hospital following pig and cadaver feasibility studies. Carina? was used to perform robotic thyroidectomy, with outcomes assessing system feasibility and safety.Results:Between May 2025 and Jul. 2025, all 8 subjects successfully underwent robot-assisted endoscopic thyroid cancer surgery using Carina?: 7 via gasless axillary approach and 1 via bilateral axillo-breast approach (BABA), with no conversions to laparoscopy or open surgery. The average system preparation time was 11.75±5.26 minutes, the average remote operation time was 111.88±25.45 minutes, and the average total operation time was 194.38±27.83 minutes. The system preparation time, remote operation time, and total operation time all showed a stable downward trend. The average physiological load score of the lead surgeon was 1.75±2.92 points, and the average psychological load score was 21.13±10.45 points. Both the physiological load and psychological load scores showed a significant downward trend as the number of surgeries increased. An average of 6.38 ± 2.77 lymph nodes were obtained, and an average of 0.88±1.73 metastatic lymph nodes were present. Postoperative follow-up was conducted for at least 2 month, and no serious complications was observed.Conclusion:This study demonstrates for the first time that modular robotic thyroidectomy using Carina? is feasible, safe, and effective.
(8.0+极速模式)