Robotic parathyroidectomy

Okoh, Alexis K.; Sound, Sara; Berber, Eren

doi:10.1002/jso.23911

Cited by 7 publications

(10 citation statements)

References 11 publications

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“…18 At most institutions, this procedure was performed with a robotic camera and 2-3 robotic arms through a single 50-to 60-mm longitudinal incision in the axilla. [18][19][20][21][22][23][24] CO 2 insufflation is not used; instead, a bladed retractor is attached to secure a visual field for surgery. Although one article described two cases of robot-assisted subtotal parathyroidectomy through a unilateral axilla, 25 our systematic literature search identified no other articles that reported bilateral exploration with the axillary approach.…”

Section: Endoscopic and Robotic Axillary Approachmentioning

confidence: 99%

“…Based on the articles in this review, the applications of RAP for PHPT are as follows: cases of a single parathyroid adenoma, 1,10,13,22-24,28,48,49 sporadic PHPT, 22,24 those with localization of a parathyroid adenoma identified by preoperative studies, 1,10,13,16,[22][23][24]28,31,45,48,49,52,53,62,63 and patients with a history of hypertrophic scarring. 46,52 Most of the articles dealing with PHPT described a single parathyroid adenoma as the indication for RAP, and this is correct for surgeons who are inexperienced regarding remote-access surgery.…”

Section: Applications Of Rap For Phptmentioning

confidence: 99%

“…53 For the robot-assisted axillary approach, one study recommended its use for patients with an axillary-to-sternal notch distance <17 cm because of the length of retractor blades. 23…”

Section: Applications Of Rap For Phptmentioning

confidence: 99%

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Scoping review of approaches used for remote‐access parathyroidectomy: A contemporary review of techniques, tools, pros and cons

et al. 2022

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After our coauthors described the first remote-access parathyroidectomy (RAP) series in 2000, several other approaches were developed. No systematic review has been performed to classify and evaluate RAP techniques. We performed a literature search using PubMed and Cochrane Library (CENTRAL). A total of 71 studies met our inclusion/exclusion criteria. RAP can be categorized into five approaches: (1) endoscopic and robotic axillary, (2) anterior chest, (3) transoral, (4) retroauricular, and (5) a combination of these approaches. The limited data in the literature suggest that the cure rates and safety of RAP are in no way inferior to those of open parathyroidectomy. Each approach has its advantages and disadvantages, and the recommendations for the selection of each approach are listed. The selection of approach methods might depend on the surgeon's experience and familiarity and the patient's preference and disease status.

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Section: Endoscopic and Robotic Axillary Approachmentioning

confidence: 99%

Section: Applications Of Rap For Phptmentioning

confidence: 99%

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Scoping review of approaches used for remote‐access parathyroidectomy: A contemporary review of techniques, tools, pros and cons

et al. 2022

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“…The inherent limitations of cervical and extracervical endoscopic surgical approaches have lead to the emergence of robotic parathyroidectomy as an alternative option (27). The causes of this limitation are mainly related to the technical difficulties encountered with conventional endoscopic surgery, for which the surgeon uses instruments without articulated ends, which thus provide only four degrees of freedom.…”

Section: Endoscopic Parathyroidectomy With Robotic Systemmentioning

confidence: 99%

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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“…Application of robotic technology for parathyroid removal has been less extensively studied and its use has not been widely adopted. Previous studies have documented the safety of the procedure with the advantages of greater image magnification, gasless technique, and a hidden axillary incision (1)(2)(3)(4). Herein we present our technique of robotic transaxillary parathyroidectomy at an academic institution.…”

Section: Introductionmentioning

confidence: 99%

Robotic transaxillary parathyroidectomy

et al. 2017

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Robotic parathyroidectomy

Abstract: Robotic parathyroidectomy has recently been described. Although the procedure eliminates the neck scar, it is technically more demanding than the conventional approaches. This report is a review of the patients' selection criteria, technique, and outcomes.

Cited by 7 publications

References 11 publications

Scoping review of approaches used for remote‐access parathyroidectomy: A contemporary review of techniques, tools, pros and cons

Scoping review of approaches used for remote‐access parathyroidectomy: A contemporary review of techniques, tools, pros and cons

Endoscopic and robotic parathyroidectomy in patients with primary hyperparathyroidism

Robotic transaxillary parathyroidectomy

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