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Essentials and Future Directions of Robotic Endocrine Surgery

  • Ryaz ChagparEmail author
  • Eren Berber
Chapter
  • 1.2k Downloads

Abstract

Since the first case series from Europe detailing the feasibility of robotic general surgery more than a decade ago, there has been a growing expansion in the number of indications for and increasing adoption of the robotic platform among surgeons from a variety of subspecialties, including endocrine surgery.

As value-based health care has now become a dominant feature in the practice of medicine, however, further development of robotic endocrine surgery may be limited unless improved quality in terms of clinical and patient based outcomes can be used to justify the generally higher costs of this technology.

This chapter aims to review the current indications and techniques for robotic adrenalectomy, thyroidectomy, and parathyroidectomy, with an emphasis on variation in clinical and patient-reported outcomes relative to traditional surgical approaches.

Keywords

Recurrent Laryngeal Nerve Parathyroid Adenoma Harmonic Scalpel Laparoscopic Adrenalectomy Robotic Platform 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 11.1

Robotic transabdominal left adrenalectomy in a 27-year-old female with an approximately 3 cm sex-steroid-producing adrenocortical adenoma (M4V 127883 kb)

Video 11.2

Robotic retroperitoneoscopic right adrenalectomy demonstrating transcutaneous and intraoperative ultrasound

Video 11.3

Robotic unilateral transaxillary total thyroidectomy in a 26-year-old female with a multinodular goiter

Video 11.4

Robotic transaxillary single gland (left inferior) parathyroidectomy with focal exploration and intraoperative PTH in a patient with primary hyperparathyroidism

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of Endocrine SurgeryCleveland ClinicClevelandUSA

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