Outcome of Robot-Assisted Parathyroidectomy for Primary Hyperparathyroidism

Aïdan, Patrick; Ali, Daniah Bu; Murad, Fadi; Noureldine, Salem I.; Alshehri, Moha H.; Hassoon, Taha A.; Kang, Sang‐Wook; Kandil, Emad

doi:10.1016/j.jamcollsurg.2016.08.248

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with cosmetic concerns for a transverse cervical scar or keloid tendency often prefer a scarless treatment to traditional parathyroidectomy. While scarless parathyroidectomy options via remote access parathyroidectomy do exist, they are not as widely performed and accessible a procedure in many countries including the US, and the associated cost of the procedure is a barrier to many who simply wish to avoid incision-related risks ( 39 ). Minimal post-operative incisional and musculoskeletal pain, no significant anesthesia-associated complications, and quicker recovery with no time off from work or activity restrictions are additional benefits of RFA that appeal to select patients.…”

Section: Resultsmentioning

confidence: 99%

Radiofrequency ablation as a treatment modality for primary hyperparathyroidism: a systematic literature review

Issa,

Kandil,

Lee

2024

Gland Surg

View full text Add to dashboard Cite

Background Primary hyperparathyroidism (pHPT) is an endocrine disorder typically characterized by elevated serum calcium and elevated parathyroid hormone (PTH). While parathyroidectomy is the standard treatment, non-operative intervention such as radiofrequency ablation (RFA) has been adopted as an alternative for the management of pHPT, as it has been utilized in other endocrine glands such as thyroid and adrenal. In this literature review, we aim to evaluate the current practice of RFA for pHPT. Methods A systematic literature search using PubMed, Web of Science, and Embase through June 2022 was conducted. Studies included in the review consisted of patient cohorts who had an unequivocal diagnosis of pHPT and underwent the treatment of pHPT with RFA. When more than one study was published from a similar cohort of patients, only the study with the most number of patients was considered. Studies included were assessed for bias using the critical appraisal instruments from the Joanna Briggs Institute (JBI) System. Results A total of 14 studies describing 167 parathyroid glands treated in 163 patients were reviewed. The overall cure rate was 91.2%, with 5 patients undergoing more than one ablation. The most common adverse effect encountered was temporary dysphonia. Incomplete ablation and missed multiglandular disease were the most common reasons for RFA treatment failure. Conclusions RFA may be an effective and safe alternative to parathyroidectomy in select patients with a well-localized, well-located parathyroid adenoma. Additional long-term data are needed to refine its role in the pHPT treatment algorithm.

show abstract

Section: Resultsmentioning

confidence: 99%

Radiofrequency ablation as a treatment modality for primary hyperparathyroidism: a systematic literature review

Issa,

Kandil,

Lee

2024

Gland Surg

View full text Add to dashboard Cite

show abstract

Robotic-assisted thoracoscopy in the management of mediastinal ectopic parathyroid adenoma: a case report

Steinkraus,

Wittau,

Kornmann

2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Mediastinal ectopic parathyroid adenomas, a rare cause of primary hyperparathyroidism, has evolved significantly with the advent of robotic-assisted surgery. Traditional surgical approaches, while effective, may be associated with considerable morbidity and extended recovery periods. This study aims to evaluate the effectiveness, precision, and postoperative outcomes of robotic thoracoscopy with parathyroidectomy in the management of mediastinal ectopic parathyroid adenomas. A case of a 70-year-old man with a history of primary hyperparathyroidism underwent a successful left robotic thoracoscopy with parathyroidectomy in an ectopic mediastinal parathyroid adenoma. The robotic approach demonstrated advantages such as enhanced precision and minimal invasiveness. However, the learning curve and cost implications of this technology were identified as considerations. Robotic thoracoscopy with parathyroidectomy underscores the potential of robotic surgery in revolutionizing the management of mediastinal ectopic parathyroid adenomas, offering promising precision, emphasizing the need for ongoing research, and evaluation to optimize this innovative surgical method.

show abstract

Outcome of Robot-Assisted Parathyroidectomy for Primary Hyperparathyroidism

Cited by 2 publications

References 0 publications

Radiofrequency ablation as a treatment modality for primary hyperparathyroidism: a systematic literature review

Radiofrequency ablation as a treatment modality for primary hyperparathyroidism: a systematic literature review

Robotic-assisted thoracoscopy in the management of mediastinal ectopic parathyroid adenoma: a case report

Contact Info

Product

Resources

About