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Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature
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 experie...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212607/ https://www.ncbi.nlm.nih.gov/pubmed/30397611 http://dx.doi.org/10.12998/wjcc.v6.i12.542 |
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author | Ozdenkaya, Yasar Ersavas, Cenk Arslan, Naciye Cigdem |
author_facet | Ozdenkaya, Yasar Ersavas, Cenk Arslan, Naciye Cigdem |
author_sort | Ozdenkaya, Yasar |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6212607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-62126072018-11-05 Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature Ozdenkaya, Yasar Ersavas, Cenk Arslan, Naciye Cigdem World J Clin Cases Case Report 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. Baishideng Publishing Group Inc 2018-10-26 2018-10-26 /pmc/articles/PMC6212607/ /pubmed/30397611 http://dx.doi.org/10.12998/wjcc.v6.i12.542 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Ozdenkaya, Yasar Ersavas, Cenk Arslan, Naciye Cigdem Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature |
title | Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature |
title_full | Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature |
title_fullStr | Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature |
title_full_unstemmed | Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature |
title_short | Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature |
title_sort | robotic transoral vestibular parathyroidectomy: two case reports and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212607/ https://www.ncbi.nlm.nih.gov/pubmed/30397611 http://dx.doi.org/10.12998/wjcc.v6.i12.542 |
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