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9845888 
Journal Article 
Robotic-assisted transaxillary parathyroidectomy of an atypical adenoma 
Katz, L; Khalek, MA; Crawford, B; Kandil, E 
2012 
1 
Minimally Invasive Therapy and Allied Technologies
ISSN: 1364-5706 
21 
3 
201-205 
English 
21542724 
WOS:000304365900011 
The advancement of minimally invasive surgical technologies over the past several years has led to improved surgical outcomes and greater patient satisfaction. Particularly for patients undergoing parathyroidectomies, endoscopic surgeries resulted in smaller surgical scars when compared with the open approach. Early endoscopic methods, however, were still restricted in their ability to provide adequate dexterity, two-dimensional views of the operative field; and while smaller than open surgeries, still left the presence of a small cervical scar. The limitations of endoscopic surgery led to application of the da Vinci S surgical robot system (Intuitive Surgical, Sunnyvale, CA, USA) and a novel transaxillary approach for parathyroidectomy. This surgical technique and approach is ideal for patients with primary hyperparathyroidism. This case report demonstrates that parathyroidectomy with en bloc thyroid lobectomy for atypical parathyroid adenomas using robotic- assisted transaxillary surgery is safe and feasible. 
Minimally invasive surgery; robotic surgery; parathyroid adenoma; parathyroidectomy; robotic- assisted transaxillary surgery