Robotic-Assisted Parathyroidectomy: A Feasibility Study

Objective. Targeted parathyroidectomy is the gold standard for localized parathyroid disease. A robotic-assisted approach has not been investigated. The aim was to assess the feasibility of a robotic technique that avoids a neck scar. Study Design. Feasibility study. Setting. Tertiary referral cente...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2011-06, Vol.144 (6), p.859-866
Main Authors: Tolley, Neil, Arora, Asit, Palazzo, Fausto, Garas, George, Dhawan, Ranju, Cox, Jeremy, Darzi, Ara
Format: Article
Language:English
Subjects:
Aged
Equipment Design
Feasibility Studies
Female
Follow-Up Studies
Humans
Hyperparathyroidism, Primary - blood
Hyperparathyroidism, Primary - diagnosis
Hyperparathyroidism, Primary - surgery
Male
Middle Aged
Parathyroid Hormone - blood
Parathyroid Neoplasms - blood
Parathyroid Neoplasms - diagnosis
Parathyroid Neoplasms - surgery
Parathyroidectomy - methods
Pilot Projects
Prospective Studies
Robotics - instrumentation
Tomography, Emission-Computed, Single-Photon
Treatment Outcome
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Summary:Objective. Targeted parathyroidectomy is the gold standard for localized parathyroid disease. A robotic-assisted approach has not been investigated. The aim was to assess the feasibility of a robotic technique that avoids a neck scar. Study Design. Feasibility study. Setting. Tertiary referral center. Subjects and Methods. Eleven patients with primary hyperparathyroidism were prospectively evaluated. Triple modality concordant localization was a prerequisite. All patients underwent robotic-assisted parathyroidectomy (RAP). Outcome variables assessed were operative time, voice change, biochemical cure, and histopathological confirmation. Patient-reported outcome measures (PROMs) included subjective assessment of pain and scar cosmesis, Voice Handicap Index 2, and EQ-5D quality-of-life assessment. Mean follow-up was 6 months (range, 3-12 months). Results. The parathyroid adenoma was successfully excised in all cases with negligible blood loss (
ISSN:0194-5998
1097-6817
DOI:10.1177/0194599811402152