Lengthy-term potential analysis evaluating robotic parathyroidectomy with minimally invasive open parathyroidectomy for main hyperparathyroidism.
Head Neck. 2016 Apr;38 Suppl 1:E300-6
Authors: Tolley N, Garas G, Palazzo F, Prichard A, Chaidas Ok, Cox J, Darzi A, Arora A
BACKGROUND: Focused parathyroidectomy is a well-liked approach for localized pathology. No single approach is established as superior. The aim of this research was to check robotic-assisted parathyroidectomy (RAP) with the commonest method.
METHODS: This was a potential, nonrandomized research. Fifteen consecutive sufferers who underwent RAP had been in comparison with 15 matched controls present process targeted lateral parathyroidectomy (FLP).
RESULTS: Biochemical treatment occurred in 29 of 30 sufferers (97%). No main issues occurred, though there was 1 robotic conversion. RAP demonstrated a big time discount (R(2) ?=?zero.436; p?=?.01) however took for much longer to carry out than FLP (119 minutes vs 34 minutes; p?=?.001). RAP was related to much less preliminary postoperative ache (p?=?.036) and better satisfaction with scar cosmesis (p?=?.002) till 6 months. High quality of life (QOL) improved in each teams (p?=?.007).
CONCLUSION: RAP offers superior early cosmesis with equal international well being enchancment in comparison with FLP. The excessive value and studying curve could preclude widespread adoption. Additional analysis is important to ascertain its scientific efficacy relating to scar cosmesis. © 2015 Wiley Periodicals, Inc. Head Neck 38: E300-E7, 2016.
PMID: 25545792 [PubMed – indexed for MEDLINE]