Ann Surg Treat Res.
2024 Apr;106(4):203-210. 10.4174/astr.2024.106.4.203.
Outcomes of bilateral axillo-breast approach robotic parathyroidectomy versus open parathyroidectomy for primary hyperparathyroidism: a single-institution retrospective study
- Affiliations
-
- 1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
- 2Deprtment of Surgery, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, NY, USA
- 3Department of Surgery, Seoul National University Hospital, Seoul, Korea
- 4Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
- 5Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
- 6Department of Surgery, Seoul National University Boramae Medical Center, Seoul, Korea
- KMID: 2554479
- DOI: http://doi.org/10.4174/astr.2024.106.4.203
Abstract
- Purpose
Bilateral axillo-breast approach robotic parathyroidectomy (BABA-RP) aims to remove overactive or enlarged parathyroid glands with no visible neck collar incision. In this study, we compared the safety and surgical outcomes of BABA-RP vs. those of an open surgery group to ascertain whether BABA-RP is a safe and feasible surgical approach for patients with primary hyperparathyroidism (pHPT).
Methods
This single-institution retrospective cohort study included 74 patients with primary HPT who underwent open parathyroidectomy (n = 37) or BABA-RP (n = 37) at our institution between November 2014 and March 2023. Patient demographics, biochemical cure rates, operative time, blood loss rates, and complication rates were examined and compared.
Results
The patients in the BABA-RP group were younger and had a longer mean operative time. Regarding complication events, 2 patients in the open surgery group and 1 patient in the BABA-RP group had transient hypoparathyroidism. All 74 patients achieved biochemical cure at <6 months, regardless of the approach used. Two patients in the BABA-RP group and 1 patient in the open surgery group had carcinoma on surgical pathology. All 3 patients with parathyroid carcinoma remained recurrence-free at 1-year follow-up.
Conclusion
Compared with the open procedure, BABA-RP is a safe and feasible procedure that provides an excellent biochemical cure rate for patients with pHPT and has superior cosmetic benefits with equivalent surgical outcomes.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Nonfunctioning Parathyromatosis after Endoscopic Thyroid Lobectomy via an Axillo-Breast Approach: A Case Report
- Minimally Invasive Parathyroidectomy without an Intraoperative i-PTH Test for Patients with Primary Hyperparathyroidism
- Subtotal Parathyroidectomy for Tertiary Hyperparathyroidism: a Case Report and Literature Review
- Bilateral axillo-breast approach robotic total thyroidectomy without isthmectomy: a case report
- Surgical Experience of Primary Hyperparathyroidism: Analysis of Postoperative Outcomes
