Robotic-Assisted Transaxillary Parathyroidectomy: A Safe and Cosmetically Alternative for Primary Hyperparathyroidism

Area of Science:

• Endocrinology
• Surgical Oncology
• Robotic Surgery

Background:

• Primary hyperparathyroidism (PHPT) is a common endocrine disorder often requiring surgical intervention.
• Conventional open parathyroidectomy can result in visible scarring.
• Robotic surgery is emerging as a tool to enhance precision and cosmesis in head and neck procedures.

Purpose of the Study:

• To evaluate the initial experience, safety, and efficacy of robot-assisted transaxillary parathyroidectomy (RATP).
• To compare RATP with conventional open parathyroidectomy for treating PHPT.
• To assess cosmetic outcomes and patient satisfaction following RATP.

Main Methods:

• A retrospective analysis of 20 patients with PHPT undergoing parathyroidectomy.
• Comparison between a robotic group (n=8) and an open surgery group (n=12).
• Evaluation of surgical outcomes, biochemical markers, cosmetic results (SCAR scores), and complications.

Main Results:

• Both RATP and open surgery showed comparable blood loss and postoperative reductions in parathyroid hormone and calcium.
• The robotic group had longer operative times but no significant differences in complications or recovery.
• RATP resulted in significantly better cosmetic outcomes (lower SCAR scores) and patient satisfaction.

Conclusions:

• Robot-assisted transaxillary parathyroidectomy (RATP) is a safe and effective surgical option for PHPT.
• RATP offers superior cosmetic results compared to the conventional open approach.
• RATP represents a promising alternative for parathyroid surgery, balancing efficacy with improved aesthetics.