Robot assisted transaxillary surgery (RATS) for the removal of thyroid and parathyroid glands

Landry, Christine S.; Grubbs, Elizabeth G.; Morris, Gareth; Turner, Nadine S.; Holsinger, F. Christopher; Lee, Jeffrey E.; Perrier, Nancy D.

doi:10.1016/j.surg.2010.08.014

Cited by 128 publications

(126 citation statements)

References 16 publications

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“…One patient had persistent disease and one patient required conversion to open surgery due to high body mass index (30,31). The same year, Landry et al reported two patients who underwent transaxillary robotic parathyroidectomy (32). In this study, both patients had their adenoma localised pre-operatively.…”

Section: Endoscopic Parathyroidectomy With Robotic Systemmentioning

confidence: 63%

Endoscopic and robotic parathyroidectomy in patients with primary hyperparathyroidism

Brunaud¹,

Li²,

Heede³

et al. 2016

Gland Surg.

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Primary hyperparathyroidism (PHPT) is one of the most common endocrine disorders for which parathyroidectomy is the most effective therapy. Until late 1970s, the standard approach to parathyroidectomy was a four-gland exploration using a large skin incision. However, 80 to 85 percent of cases of PHPT are caused by a single adenoma. As such, the concept of performing a bilateral exploration in order to visualize all four glands has been argued to be excessive since in the majority of cases, there is only one abnormal gland. Focused exploration (one gland) is currently the standard technique for parathyroidectomy worldwide. Despite a rapid acceptance of minimally invasive approaches in most endocrine surgery centers, the use of an endoscope with or without the use of a robotic system to perform parathyroidectomy remains controversial. The goal of this study was to review current available data about surgical approaches using an endoscope with or without the use of a robotic system in the management of

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Section: Endoscopic Parathyroidectomy With Robotic Systemmentioning

confidence: 63%

Endoscopic and robotic parathyroidectomy in patients with primary hyperparathyroidism

Brunaud¹,

Li²,

Heede³

et al. 2016

Gland Surg.

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“…In general, the ideal patient has some or all of the following characteristics: sporadic PHPT; signal gland disease, as suggested in preoperative ultrasonography and/or MIBI scan; a body mass index (BMI)<30; hypertrophic scars or keloid formation (particularly in young patients); no goiter; no previous radiation or surgical intervention in the neck region; no parathyroid carcinoma; no suspected multinodular goiter; and no cervical spinal disease [10,11]. Although previous reports show RTAPS is generally applied in cases of single, sporadic parathyroid adenomas, there are several reports of surgical cases that do not conform to the above criteria.…”

Section: Patient Selectionmentioning

confidence: 99%

Robotic Transaxillary Parathyroid Surgery

Mazlumoglu¹

2017

J Integr Oncol

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The neck is anatomically complex, and incisions in this region commonly result in cosmetic complaints. Surgeons have worked to reduce the size of incisions used in the neck region through the use of ancillary instruments. One of these instruments, the Da Vinci Robotic System, is able to reach the neck using a wide variety of approaches. These approaches were first pioneered in thyroid and parathyroid surgeries. The most commonly used approach in robotic parathyroid surgery is transaxillary. We conducted a literature search to analyze the areas of use, advantages, and disadvantages of robotic transaxillary parathyroid surgery. The transaxillary approach does not create a scar in the neck region and significantly improves cosmetic outcomes for the patient, compared with conventional parathyroid surgery.

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“…Further study and refinement of RATS are warranted prior to its widespread incorporation into clinical practice [30]. This technique does not allow bilateral exploration.…”

Section: Rats (Robot Assisted Transaxillary Surgery)mentioning

confidence: 99%

Od preparowania czterogruczołowego do technik małoinwazyjnych. Małoinwazyjna paratyroidektomia jako obecny standard chirurgii pierwotnej nadczynności przytarczyc

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Stróżyk

Proczko-Markuszewska

et al. 2014

Endokrynologia Polska

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Complete surgical resection of hyperfunctioning parathyriod tissue is essential for the treatment of primary hyperparathyroidism. During recent years, minimally invasive surgery has been successfully applied in neck exploration, because of significant developments of guidance by intraoperative scans, the use of quick, intraoperative PTH assay, and also preoperative imaging procedures such as highresolution ultrasonography and sestamibi scintigraphy. The results of operations which are performed with minimally invasive techniques are comparable to those of conventional surgery, and provide advantages with regard to cosmetic result, length of hospitalisation, and reduced post-operative pain. StreszczenieCałkowite chirurgiczne usunięcie nadczynnej tkanki gruczołowej jest kluczowe dla leczenia pierwotnej nadczynności przytarczyc. Podczas ostatnich lat, techniki chirurgii małoinwazyjnej były z sukcesem wprowadzane do preparowania tkanek szyi. Było to możliwe dzięki opracowaniu śródoperacyjnych metod lokalizowania zmienionej tkanki, szybkim testom oznaczającym stężenie PTH w surowiczy, jak również doskonaleniu technik obrazowania przedoperacyjnego, takich jak ultrasonografia wysokiej rozdzielczości czy scyntygrafia z wykorzystaniem sestamibi. Wyniki operacji z wykorzystaniem technik małoinwazyjnych są porównywalne z wynikami technik konwencjonalnych oraz wiążą się z zaletami, takimi jak skrócony okres hospitalizacji, zmniejszenie bólu pooperacyjnego czy lepszy efekt kosmetyczny. (Endokrynol Pol 2014; 65 (3): 240-249) Słowa kluczowe: pierwotna nadczynność przytarczyc; konwencjonalne preparowanie tkanek szyi; minimalnie inwazyjna parathyroidectomia

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Robot assisted transaxillary surgery (RATS) for the removal of thyroid and parathyroid glands

Cited by 128 publications

References 16 publications

Endoscopic and robotic parathyroidectomy in patients with primary hyperparathyroidism

Endoscopic and robotic parathyroidectomy in patients with primary hyperparathyroidism

Robotic Transaxillary Parathyroid Surgery

Od preparowania czterogruczołowego do technik małoinwazyjnych. Małoinwazyjna paratyroidektomia jako obecny standard chirurgii pierwotnej nadczynności przytarczyc

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