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Updated: Feb 23, 2026

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Robotic transaxillary parathyroidectomy.

Khuzema Mohsin1, Hassan Alzahrani1, Daniah Bu Ali1

  • 1Department of Surgery, Tulane University School of Medicine, New Orleans, USA.

Gland Surgery
|September 2, 2017
PubMed
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Robotic transaxillary parathyroid surgery offers a scarless approach. This technique uses nerve monitoring and indocyanine green (ICG) imaging for enhanced safety and quick patient recovery.

Area of Science:

  • Minimally Invasive Surgery
  • Endocrine Surgery
  • Robotic Surgery

Background:

  • Transaxillary robotic surgery for parathyroidectomy avoids visible neck scars.
  • Previous reports established the safety and feasibility of this approach.

Purpose of the Study:

  • To demonstrate a refined robotic transaxillary parathyroidectomy technique.
  • To highlight the integration of intraoperative nerve monitoring and indocyanine green (ICG) imaging.

Main Methods:

  • Robotic transaxillary approach for parathyroidectomy.
  • Intraoperative nerve monitoring (IONM).
  • Indocyanine green (ICG) fluorescence imaging.

Main Results:

  • Successful application of the described technique.
Keywords:
Robotic transaxillary parathyroidectomygamma probeindocyanine green imaging (ICG imaging)intraoperative PTHrobot-assisted parathyroidectomyscarless parathyroidectomy

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  • Rapid postoperative recovery, with same-day discharge.
  • Demonstrated feasibility of combining advanced monitoring tools.

    • Conclusions:

    • Robotic transaxillary parathyroid surgery is a safe and feasible option.
    • Integration of IONM and ICG enhances surgical precision and patient outcomes.
    • This approach offers cosmetic benefits and efficient recovery.