Abstract
Targeted parathyroidectomy is indicated for primary hyperparathyroidism when the parathyroid adenoma has been preoperatively localized on imaging. Various minimal and remote-access techniques have been described though no approach has been shown to be overwhelmingly superior.
The latest addition to the armamentarium of head and neck and endocrine surgeons is single-port transaxillary robotic parathyroidectomy. The robotic technique overcomes the technical limitations associated with conventional endoscopic surgery. This novel technique has equivalent results in terms of cure compared to preexisting techniques. The primary advantage is the avoidance of a neck scar by concealing it in the axilla.
In this chapter, we present in a step-by-step pictorial narrative the surgical technique for single-port transaxillary robotic parathyroidectomy and also discuss important issues around this advanced remote-access targeted parathyroidectomy technique.
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Garas, G., Darzi, A., Arora, A., Tolley, N. (2017). Single-Port Transaxillary Robotic Parathyroidectomy. In: Gil, Z., Amit, M., Kupferman, M. (eds) Atlas of Head and Neck Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-49578-1_11
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DOI: https://doi.org/10.1007/978-3-319-49578-1_11
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