Use of da Vinci Si surgical system in total parathyroidectomy with autotransplantation for secondary renal hyperparathyroidism
10.3760/cma.j.issn.1007-631X.2018.01.015
- VernacularTitle:达芬奇机器人甲状旁腺全切加部分腺体自体移植术治疗肾性甲状旁腺功能亢进
- Author:
Peng ZHOU
1
;
Dayong ZHUANG
;
Qingqing HE
;
Jian ZHU
;
Ziyi FAN
;
Luming ZHENG
;
Tao YUE
Author Information
1. 250031,济南军区总医院甲状腺甲状旁腺外科
- Keywords:
Hyperparathyroidism,secondary;
Parathyroidectomy;
Parathyroid autotransplantation
- From:
Chinese Journal of General Surgery
2018;33(1):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical safety and effectiveness of da Vinci Si surgical system in total parathyroidectomy with autotransplantation of secondary hyperparathyroidism.Methods A retrospective analysis was conducted with da Vinci Si surgical system on 16 patients with secondary hyperparathyroidism who were given total parathyroidectomy with autotransplantation from Mar 2014 to June 2016.The changes of clinical symptoms,parathyroid hormone,calcium and phosphate blood levels were followed up from 6 months to 2 years.Results Surgery was successful in all 16 cases and 62 parathyroid glands were resected.There were no operation-related complications and no conversions to open or endoscopic surgery.Mean operation time was (136 ± 24) minutes.In all postoperative cases the musculoskeletal pain,skin itching were relieved or disappeared.PTH,calcium and phosphate blood levels decreased and no recurrence during follow-up period,The postoperative cosmetic result was satisfatory.Conclusions Da Vinci Si surgical system used in the parathyroid surgery is safe and effective,especially suitable for patients with cosmetic requirements.
