The role of the robotic-assisted transaxillary gasless approach for the removal of parathyroid adenomas

Salem I. Noureldine, Nicholas Lewing, Ralph P. Tufano, Emad Kandil

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations


Background: We sought to describe a robotic technique of transaxillary gasless parathyroidectomy for the management of primary hyperparathyroidism (PHPT) due to a parathyroid adenoma. Methods: All consecutive patients who underwent robotic parathyroidectomy for a parathyroid adenoma by a single surgeon were included. Data was obtained by a retrospective review of patients' medical charts. Results: Nine patients with confirmed PHPT underwent robotic parathyroidectomy. Curative resection was established in all patients with the aid of intraoperative parathyroid hormone monitoring. One patient required bilateral cervical exploration of multiglandular disease. There were no complications. Patients were followed up for a period exceeding 6 months without any evidence of persistent or recurrent hyperparathyroidism. Conclusions: Our initial experience demonstrates that this technique is safe and effective for the treatment of PHPT. We believe that the use of robotic technology for endoscopic parathyroid surgeries could overcome the limitations of conventional techniques in the management of parathyroid lesions.

Original languageEnglish (US)
Pages (from-to)19-24
Number of pages6
Issue number1
StatePublished - May 2014
Externally publishedYes


  • Parathyroid adenoma
  • Parathyroidectomy
  • Primary hyperparathyroidism
  • Robotic parathyroidectomy
  • Robotic thyroidectomy
  • Transaxillary gasless approach

ASJC Scopus subject areas

  • Otorhinolaryngology


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