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Chinese expert consensus on endoscopic and robotic parathyroid surgery (version 2025)
Qingqing He1, Wen Tian2, Quan Liao3
1Department of Thyroid and Breast Surgery, The 960th Hospital of the People's Liberation Army, Jinan, 250031, Shandong Province, China. 13553169332@163.com.
Surgical Endoscopy
|July 14, 2025
Summary
This expert consensus provides standardized guidelines for endoscopic and robotic parathyroid surgery, aiming to improve patient outcomes and promote safe, effective minimally invasive procedures.
Area of Science:
- Endocrine Surgery
- Minimally Invasive Surgical Techniques
- Robotic and Endoscopic Surgery
Background:
- Increasing adoption of advanced minimally invasive techniques in parathyroid surgery.
- Lack of uniform clinical practice guidelines for endoscopic and robotic parathyroid surgery.
- Need for standardized protocols to ensure safety and efficacy.
Framework:
- Development of the 2025 Chinese Expert Consensus on Endoscopic and Robotic Parathyroid Surgery.
- Formulated by leading surgical societies based on literature and multicenter experience.
- Involves rigorous discussion and voting by expert panels.
Implementation:
- Systematic description of indications and contraindications for primary, secondary, and tertiary hyperparathyroidism.
- Guidance on preoperative evaluation, surgical equipment, operator qualifications, and access techniques (robotic and endoscopic).
- Details on surgical procedures, perioperative management, and complication handling.
Implications:
- Provides comprehensive guidance for clinicians performing endoscopic and robotic parathyroid surgery.
- Aims to standardize surgical practices for improved patient safety and outcomes.
- Facilitates the promotion and adoption of advanced surgical methods in parathyroid treatment.

