{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:50:53Z","timestamp":1787669453602,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,5,5]],"date-time":"2011-05-05T00:00:00Z","timestamp":1304553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Targeted parathyroidectomy is the gold standard for localized parathyroid disease. A robotic\u2010assisted approach has not been investigated. The aim was to assess the feasibility of a robotic technique that avoids a neck scar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Feasibility study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Eleven patients with primary hyperparathyroidism were prospectively evaluated. Triple modality concordant localization was a prerequisite. All patients underwent robotic\u2010assisted parathyroidectomy (RAP). Outcome variables assessed were operative time, voice change, biochemical cure, and histopathological confirmation. Patient\u2010reported outcome measures (PROMs) included subjective assessment of pain and scar cosmesis, Voice Handicap Index 2, and EQ\u20105D quality\u2010of\u2010life assessment. Mean follow\u2010up was 6\u00a0months (range, 3\u201012\u00a0months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The parathyroid adenoma was successfully excised in all cases with negligible blood loss (&lt;5\u00a0mL). There was 1 conversion. There was no voice change in any case. Robot docking time plateaued to 10\u00a0minutes after 8 cases. Mean exposure and console times (31 and 51\u00a0minutes, respectively) were affected by body habitus. The mean visual analog scale for scar cosmesis was 75% on the first postoperative day, improving to 92% at 6\u00a0months and 95% at 1 year. Pain scores decreased to 8% at 2 weeks. All 5 EQ\u20105D quality\u2010of\u2010life parameters significantly improved following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The robotic approach is feasible for performing targeted parathyroidectomy that avoids a neck scar. The clinical efficacy and cost\u2010effectiveness of the robotic approach compared with conventional targeted parathyroidectomy warrant further evaluation to establish if this represents a viable alternative to the existing targeted techniques.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599811402152","type":"journal-article","created":{"date-parts":[[2011,5,6]],"date-time":"2011-05-06T00:22:27Z","timestamp":1304641347000},"page":"859-866","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Robotic\u2010Assisted Parathyroidectomy"],"prefix":"10.1002","volume":"144","author":[{"given":"Neil","family":"Tolley","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery St Mary\u2019s Hospital Imperial College Healthcare NHS Trust London 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