Bilateral Axillo-Breast Approach (BABA) Endoscopic and Robotic Thyroid Surgery

  • June Young Choi
  • Kyu Eun Lee
  • Yeo-Kyu Youn


As endoscopic thyroid surgery has been developed in late 1990s, various techniques have been introduced by many surgeons, including cervical, axillary, breast, and anterior chest approaches. The major advantage of endoscopic thyroid surgery over conventional open surgery is the cosmetic results. As BABA endoscopic thyroid surgery was developed in 2004 and published in 2007, it has been applied to various operations for thyroid diseases such as well-differentiated thyroid cancer, thyroid goiter, Graves’ disease, and reoperation for completion lobectomy. The advantages of BABA endoscopic thyroidectomy are as follows: (1) the procedures are same as conventional open thyroidectomy, (2) BABA gives symmetric view of bilateral thyroid lobes and gives an optimal visualization of major structures during the operation, (3) there is no interference between instruments because the ports are remote from each other, and as mentioned above, (4) good cosmetic results with no visible scar.


Papillary Thyroid Carcinoma Recurrent Laryngeal Nerve Thyroid Surgery Strap Muscle Robotic Thyroidectomy 
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  1. Brunt LM, Jones DB, Wu JS, Quasebarth MA, Meininger T, Soper NJ (1997) Experimental development of an endoscopic approach to neck exploration and parathyroidectomy. Surgery 122:893–901PubMedCrossRefGoogle Scholar
  2. Chung YS, Choe JH, Kang KH, Kim SW et al (2007) Endoscopic thyroidectomy for thyroid malignancies: comparison with conventional open thyroidectomy. World J Surg 31:2302–2306; discussion 7–8PubMedCrossRefGoogle Scholar
  3. Gottlieb A, Sprung J, Zheng XM, Gagner M (1997) Massive subcutaneous emphysema and severe hypercarbia in a patient during endoscopic transcervical parathyroidectomy using carbon dioxide insufflation. Anesth Analg 84:1154–1156PubMedGoogle Scholar
  4. Kim SJ, Lee KE, Choe JH, Lee J et al (2010) Endoscopic completion thyroidectomy by the bilateral axillo-breast approach. Surg Laparosc Endosc Percutan Tech 20:312–316PubMedCrossRefGoogle Scholar
  5. Yeung GH (2002) Endoscopic thyroid surgery today: a diversity of surgical strategies. Thyroid 12:703–706PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of SurgerySeoul National University HospitalSeoulSouth Korea

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