Robotic transaxillary parathyroidectomy: surgical technique and pearls

With the advances in preoperative localization studies and greater demand for minimally invasive procedures, novel targeted approaches to the parathyroid glands have been described and practiced over the past 2 decades. Despite these various surgical options, no single technique has been established as superior to another. Recently, robotic surgery has evolved from a novel technique with an anticipated potential to overcome the limitations associated with endoscopic techniques, to the preferred surgical procedure in multiple surgical disciplines. Their application in head and neck surgery has gained wide popularity in Asia and recently in European and North American practice. This article reviews the application of robotic technology to further assist surgeons in accomplishing parathyroidectomy.