Bilateral axillo-breast approach (BABA) endoscopic thyroidectomy was introduced at Seoul National University Hospital in 2004, and it has been used to treat a variety of benign and malignant thyroid diseases. In 2008, we began using the da Vinci robotic system with BABA endoscopic thyroidectomy and reported our initial experiences in 2009. Since then, the outcomes of many clinical studies have been reported. In this chapter, we will introduce the BABA robotic thyroidectomy (RoT) procedure and review evidence for the safety of performing BABA. First, we will introduce the history of BABA RoT, which is based on an endoscopic BABA method. Second, we will review the BABA RoT equipment, operating room (OR) set-up, and the procedures, including surgical indications. Third, technical, oncological, and functional evidence for the safety of performing BABA will be described. Fourth, we will highlight the esthetic superiority of BABA RoT compared with conventional thyroidectomy. Finally, the BABA robotic modified radical neck dissection procedure will be introduced, with mention of our experiences and special concerns. We conclude that BABA RoT is technically, oncologically, and functionally safe. In addition, its esthetic superiority should be emphasized. Further research on the prognosis of patients treated by BABA RoT should follow in the future.
Part of the book: Surgical Robotics