Prevention of complications in transaxillary single-incision robotic thyroidectomy

Background: Transaxillary robotic thyroidectomy, developed by the Yonsei University group from Seoul, Korea, is a new approach that eliminates the need for a cervical incision. Originally, this technique was performed using a two-incision technique (ipsilateral axilla and anterior chest wall). More recently, the chest wall incision is being eliminated and a less invasive robotic thyroid procedure is being performed through a single axillary incision. Summary: The complexity of this new technique introduces the potential for new complications particularly during the initial learning curve that are not routinely or previously associated with conventional open thyroidectomy. This article will aide surgeons in overcoming the learning curve of transaxillary single-incision robotic thyroidectomy (TSI-RT), giving a detailed explanation of the robotic surgical procedure, the possible complications, and complication management. Conclusions: If surgeons have mastery of the multiple steps of the robotic surgical procedure and a good understanding of possible complications and how to prevent them, TSI-RT can be performed safely and offers numerous advantages over multi-incision robotic thyroidectomy as well as conventional open thyroidectomy.