Robotic parathyroidectomy in primary hyperparathyroidism via the bilateral axillo-breast approach

Abstract

Primary hyperparathyroidism is a common endocrine disorder that can be cured through surgical intervention. The majority of cases are caused by a single hyperfunctioning parathyroid adenoma. Focused parathyroidectomy is becoming more common as pre-operative localization techniques have improved. This approach minimizes the size of the incision while allowing safe dissection of the parathyroid glands in the confined space of the neck. Recent studies have reported that robotic parathyroidectomy (RP) was feasible with similar complication and success rates to open surgery. This case report describes the use of the robotic platform for focused parathyroidectomy via bilateral axillo-breast approach (BABA), demonstrating the feasibility and potential benefits of this approach.