Robotic total parathyroidectomy by the axillo-bilateral-breast approach for secondary hyperparathyroidism: a feasibility study

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Qingqing HeZiyi Fan

Abstract

The aim of this study was to evaluate the clinical application and superiority of the da Vinci(®) Si Surgical System (Intuitive Surgical Inc., Sunnyvale, CA) in total parathyroidectomy for secondary hyperparathyroidism. Total parathyroidectomy was performed with the da Vinci Si Surgical System by the four-trocar axillo-bilateral-breast approach. The patients were placed in the supine position, and the operation procedure included creating the workspace, docking, and consoling stages. The camera arm is centered in the working space. Three working arms are then placed adjacent to the camera. The Harmonic(®) scalpel (Ethicon Endo-surgery, Inc., Cincinnati, OH) was used for hemostasis and gland resection, and dissected parathyroid was taken out by a specimen pouch. Total parathyroidectomy with trace amounts of parathyroid tissue autotransplantation in 6 patients was successfully performed with the da Vinci Si Surgical System. There were no operation-related complications and no conversions to open or endoscopic surgery. Mean operation time was 156 minutes. Patients were discharged from the hospital 6 days after surgery. The postoperative cosmetic result was satisfactory, with minimal numbness and tingling on the anterior chest. Thi...Continue Reading

References

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Citations

Sep 18, 2015·International Urology and Nephrology·Diana MoldovanMirela Gherman-Căprioară
Aug 23, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Brian C RuhleRaymon H Grogan
Dec 4, 2015·Current Opinion in Oncology·Shirley Yuk-Wah Liu, Brian Hung-Hin Lang
Dec 30, 2016·Surgical Endoscopy·Thanyawat SasanakietkulAngkoon Anuwong
Nov 7, 2018·World Journal of Clinical Cases·Yasar OzdenkayaNaciye Cigdem Arslan
May 23, 2018·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Asit AroraNeil Tolley

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