Single incision robotic transaxillary approach to perform parathyroidectomy

The recent development of robotic systems provided a safe, precise, 3D magnified dissection without the need for CO₂ insufflation and has a better cosmetic result due to the invisible axillary scar in the neutral position (1). In the past two decades, significant improvements in the accuracy and reliability of preoperative localization studies have facilitated further evolution in surgical management of primary hyperparathyroidism (2). Targeted parathyroidectomy is the current preferred procedure for PHPT by most endocrine surgeons (3,4).