Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature

ÖZDENKAYA Y., Ersavas C., ARSLAN N. Ç.

World Journal of Clinical Cases, cilt.6, sa.12, ss.542-547, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 12
  • Basım Tarihi: 2018
  • Doi Numarası: 10.12998/wjcc.v6.i12.542
  • Dergi Adı: World Journal of Clinical Cases
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.542-547
  • Anahtar Kelimeler: Transoral vestibular surgery, Parathyroid adenoma, Natural orifice transendoluminal surgery, Robotics, Parathyroidectomy
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Advances in preoperative localization studies and demands for scarless surgery have promoted the investigation for remote techniques in parathyroid surgery. Transoral vestibular approach seems to provide the most comfortable and safest access to the neck. In this paper, we report our initial experience with robotic transoral vestibular parathyroidectomy (RTVP) in four patients with primary hyperparathyroidism. The surgery was performed with the Da Vinci system through three trocars introduced from the lower lip vestibule. The procedure was converted to open in two patients due to inappropriate preoperative localization. The mean operative time was 169 min. No postoperative complications were seen. Patients were discharged on postoperative day 1. RTVP is a feasible and safe technique, which allows better surgical exposure and manipulation of the instruments. The advantages of transoral vestibular approach can be enhanced by robotics. Further studies are needed to analyze complications and costs.