Robotic parathyroidectomy is a feasible technique for primary hyperparathyroidism

作者：Jin Seok Lee, Jun Sung Lee, Hojung Jeong, Hyeok Jun Yun, Hojin Chang, Seok‐Mo Kim, Yong Sang Lee, Hang‐Seok Chang · 发表于：Langenbeck s Archives of Surgery · 年份：2023 · DOI：10.1007/s00423-023-03182-y · 被引用次数：5 · 研究领域：Parathyroid Disorders and Treatments、Thyroid and Parathyroid Surgery、Dialysis and Renal Disease Management

PURPOSE: Focused parathyroidectomy is the gold standard treatment modality for primary hyperparathyroidism, which allows accurate preoperative localization. Robotic parathyroidectomy has emerged as a feasible procedure for focused parathyroidectomy. This study aimed to report the experiences of gasless robotic transaxillary parathyroidectomy for primary hyperparathyroidism in a single center. METHODS: We assessed the data obtained from patients who underwent gasless robotic parathyroidectomy with the transaxillary approach between December 2013 and August 2022 and were diagnosed with primary hyperparathyroidism at our institute. The data included clinical, biochemical, and pathological features and operation time. RESULTS: Of the 12 patients, 11 were women and one was a man. The median age of the patients was 44.5 years (range: 15-65 years). The median preoperative maximum mass diameters on ultrasonography and neck computed tomography were 1.2 ± 0.5 and 1.1 ± 0.6 cm, respectively. The median size of the postoperative maximum mass diameter in gross pathology was 1.3 ± 0.4 cm. The location of the enlarged parathyroid was left superior in five patients, right inferior in four, left inferior in three, and no right superior in one. In the final pathological examination, all cases were parathyroid adenomas. Only one case experienced a postoperative bleeding complication. At six months from surgery, average of an axillary scar length was 5.85 cm, and an average width was 0.21 cm. Th...