RT Journal A1 Landry CS, Grubbs EG, Perrier ND T1 BIlateral robotic-assisted transaxillary surgery JF Archives of Surgery JO Archives of Surgery YR 2010 FD August 1 VO 145 IS 8 SP 717 OP 720 DO 10.1001/archsurg.2010.117 UL http://dx.doi.org/10.1001/archsurg.2010.117 AB Hypothesis  Robotic-assisted transaxillary surgery (RATS) for the removal of thyroid glands is feasible by surgeons in the United States.Design  Case report.Setting  Academic research.Patient  A 53-year-old woman.Intervention  Total thyroidectomy via the transaxillary approach.Main Outcome Measure  Successful completion thyroidectomy using bilateral RATS.Results  Right thyroid lobectomy was performed via RATS to remove a 2.2-cm Hurthle cell neoplasm of the thyroid gland per cytologic analysis. Final pathologic analysis was consistent with minimally invasive follicular thyroid carcinoma. The patient then underwent completion thyroidectomy via left-sided RATS. There were no complications.Conclusions  Bilateral RATS to perform total thyroidectomy is a feasible option in properly selected patients. To our knowledge, this is the first reported use of this technique in the United States.