Robotic-assisted parathyroidectomy and short-term outcomes: a systematic review of the literature
- 13 July 2020
- journal article
- review article
- Published by Springer Science and Business Media LLC in Journal of Robotic Surgery
- Vol. 14 (6), 821-827
- https://doi.org/10.1007/s11701-020-01119-x
Abstract
Minimal invasive techniques in endocrine surgery were lately adopted by surgical teams due to significant complications related to inadequate operative space and high risk of injuring crucial surrounding structures, such as vessels and nerves. Over the last years, technological improvements introduced robotic systems and approaches in endocrine surgery. Several case reports and series have described the safety and efficacy of these procedures such as robotic thyroidectomy and robotic parathyroidectomy. In the current review, we included 15 studies which described robotic-assisted parathyroidectomy for cervical parathyroid adenoma, in patients diagnosed with primary hyperparathyroidism or secondary hyperparathyroidism. No significant negative short-term outcomes were observed, in terms of postoperative complications, such as temporary or permanent injury of RLN, postoperative hypoparathyroidism and blood loss. The cosmetic result was, definitely, superior in comparison to conventional open parathyroidectomy. Despite the fact that RAP is an effective and curative method for patients with PHPT or secondary hyperparathyroidism, there are no available randomized clinical trials to establish this modern procedure as a gold-standard treatment strategy for these patients.Keywords
This publication has 42 references indexed in Scilit:
- Robotic‐Assisted ParathyroidectomyOtolaryngology -- Head and Neck Surgery, 2011
- Robot assisted transaxillary surgery (RATS) for the removal of thyroid and parathyroid glandsSurgery, 2011
- Feasibility and Safety of a New Robotic Thyroidectomy through a Gasless, Transaxillary Single-Incision ApproachJournal of the American College of Surgeons, 2010
- Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA StatementJournal of Clinical Epidemiology, 2009
- Novel Uses of Surgical Robotics in Head and Neck SurgeryJournal of Laparoendoscopic & Advanced Surgical Techniques, 2005
- Robotic and Laparoscopic Surgery for Treatment of Colorectal DiseasesDiseases of the Colon & Rectum, 2004
- Minimal-access/minimally invasive parathyroidectomy for primary hyperparathyroidismSurgical Clinics of North America, 2004
- Endoscopic Parathyroidectomy by a Gasless ApproachJournal of Laparoendoscopic & Advanced Surgical Techniques, 1998
- Massive Subcutaneous Emphysema and Severe Hypercarbia in a Patient During Endoscopic Transcervical Parathyroidectomy Using Carbon Dioxide InsufflationAnesthesia & Analgesia, 1997
- Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidismBritish Journal of Surgery, 1996