LAUSR

The increase in demand for cosmesis and surgical excellence resulting in the improvement of postoperative quality of life has led to the development of remote-access thyroid surgery. Amongst various approaches for remoteaccess thyroidectomy, the recently developed transoral approach has gained huge popularity because of the advantages of a short distance from the oral vestibule to the neck, resulting in less tissue dissection than others such as the midline approach with direct access to bilateral lobes of thyroid gland and central compartment, and excellent cosmesis, as incisions are made in the lower lip mucosa, so the neck is truly scarless. Transoral robotic thyroidectomy(TORT) has the added benefits of high-definition three-dimensional view, wristed instruments, tremor elimination, and use of four ports, which allows for independent countertraction and precise dissection of thyroid carcinomas with preservation of important structures such as the recurrent laryngeal nerve and parathyroid glands. TORT has mostly been applied in patients with papillary thyroid microcarcinomas smaller than 1 cm, which usually show indolent clinical course, whereas this study explores the feasibility of TORT for papillary carcinomas larger than 1 cm. PRESENT