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Updated: Feb 27, 2026

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Transaxillary single-port subtotal parathyroidectomy: feasibility study in cadavers.

Alexandre Elmães de Marsillac1, Rossano Kepler Alvim Fiorelli1, Henrique Neubarth Phillips1

  • 1- Federal University of the State of Rio de Janeiro (UNIRIO), Department of General and Specialized Surgery, Professional Masters in Videoendoscopic Techniques, Rio de Janeiro, Rio de Janeiro State, Brazil.

Revista Do Colegio Brasileiro De Cirurgioes
|June 29, 2017
PubMed
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This study demonstrates the feasibility of single-port transaxillary subtotal parathyroidectomy in cadavers. This minimally invasive technique is reproducible and offers a viable alternative for cervical surgery.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Anatomy

Background:

  • Parathyroidectomy is a common endocrine surgical procedure.
  • Minimally invasive techniques aim to reduce surgical trauma and improve patient outcomes.
  • Transaxillary approaches offer a scarless alternative for certain cervical procedures.

Purpose of the Study:

  • To evaluate the viability and reproducibility of a single-port transaxillary subtotal parathyroidectomy technique.
  • To assess the feasibility of this approach in non-formalized cadavers.

Main Methods:

  • Ten subtotal parathyroidectomies were performed using a transaxillary TriPort access in cadavers.
  • The technique involved axillary fossa access, a subcutaneous tunnel to the anterior cervical region, and parathyroid gland dissection/resection.

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Main Results:

  • All ten surgeries were successfully completed.
  • The average surgical time was 65 minutes (range: 57-79 minutes).
  • Anatomical structures were identified without complications, and no additional cervical incisions were required.

Conclusions:

  • The single-port transaxillary subtotal parathyroidectomy is a feasible and reproducible technique.
  • This approach represents a promising alternative for minimally invasive cervical surgery.