ABSTRACT
To minimize surgical morbidity and hidden neck scarring, robotic and endoscopic thyroidectomy using cervical, axillary, anterior chest, breast, facelift, or transoral approaches have been developed over the past 20 years. Among remote access approaches, the gasless transaxillary, bilateral axillo-breast approach (BABA), facelift, and transoral approaches are commonly used today. Hence, we need to understand the advantages and limitations of each procedure; also, strict patient selection criteria are very important for a successful surgery and to prioritize the patient's safety. Remote access robotic and endoscopic thyroidectomy is feasible, and its outcomes are comparable to those of conventional transcervical thyroidectomies in highly selective patients. The most significant advantage of remote access thyroidectomy is its superior cosmesis. However, its disadvantages include longer operation time, higher cost, and technical difficulty.
