Please use this identifier to cite or link to this item: http://192.168.1.35:80/jspui/handle/Hannan/31396
Title: Long-term prospective evaluation comparing robotic parathyroidectomy with minimally invasive open parathyroidectomy for primary hyperparathyroidism
Authors: Tolley, N;Garas, G;Palazzo, F;Prichard, A;Chaidas, K;Cox, J;Darzi, A;Arora, A
subject: Science & Technology
Life Sciences & Biomedicine
Otorhinolaryngology
Surgery
robotic
surgery
hyperparathyroidism
cosmesis
outcomes
VIDEO-ASSISTED PARATHYROIDECTOMY
CONVENTIONAL OPEN THYROIDECTOMY
FOCUSED LATERAL APPROACH
QUALITY-OF-LIFE
ENDOSCOPIC PARATHYROIDECTOMY
Surgery
cosmesis
hyperparathyroidism
outcomes
robotic
surgery
Adult
Aged
Female
Follow-Up Studies
Humans
Hyperparathyroidism, Primary
Male
Middle Aged
Minimally Invasive Surgical Procedures
Parathyroidectomy
Prospective Studies
Quality of Life
Robotic Surgical Procedures
Humans
Parathyroidectomy
Follow-Up Studies
Prospective Studies
Quality of Life
Adult
Aged
Middle Aged
Female
Male
Hyperparathyroidism, Primary
Minimally Invasive Surgical Procedures
Robotic Surgical Procedures
Science & Technology
Life Sciences & Biomedicine
Otorhinolaryngology
Surgery
robotic
surgery
hyperparathyroidism
cosmesis
outcomes
VIDEO-ASSISTED PARATHYROIDECTOMY
CONVENTIONAL OPEN THYROIDECTOMY
FOCUSED LATERAL APPROACH
QUALITY-OF-LIFE
ENDOSCOPIC PARATHYROIDECTOMY
Surgery
Clinical Sciences
1105 Dentistry
Otorhinolaryngology
Year: 8-Jun-2018
Publisher: Wiley
Description: Background Targeted parathyroidectomy is a popular technique for localized pathology. No single technique is established as superior. The purpose of this study was to compare robotic-assisted parathyroidectomy (RAP) with the most common approach. Methods This was a prospective, nonrandomized study. Fifteen consecutive patients who underwent RAP were compared to 15 matched controls undergoing focused lateral parathyroidectomy (FLP). Results Biochemical cure occurred in 29 of 30 patients (97%). No major complications occurred, although there was 1 robotic conversion. RAP demonstrated a significant time reduction (R2 = 0.436; p = .01) but took much longer to perform than FLP (119 minutes vs 34 minutes; p = .001). RAP was associated with less initial postoperative pain (p = .036) and higher satisfaction with scar cosmesis (p = .002) until 6 months. Quality of life (QOL) improved in both groups (p = .007). Conclusion RAP provides superior early cosmesis with equivalent global health improvement compared to FLP. The high cost and learning curve may preclude widespread adoption. Further evaluation is necessary to establish its clinical efficacy regarding scar cosmesis.
URI: http://localhost/handle/Hannan/31396
https://spiral.imperial.ac.uk:8443/handle/10044/1/59955
Standard no: 1043-3074
https://dx.doi.org/10.1002/hed.23990
Type Of Material: Article
Appears in Collections:Department of Surgery and Cancer

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