Scoping review of approaches used for remote-access parathyroidectomy: A contemporary review of techniques, tools, pros and cons.

Journal: Head & neck
PMID: 35467046

Abstract

After our coauthors described the first remote-access parathyroidectomy (RAP) series in 2000, several other approaches were developed. No systematic review has been performed to classify and evaluate RAP techniques. We performed a literature search using PubMed and Cochrane Library (CENTRAL). A total of 71 studies met our inclusion/exclusion criteria. RAP can be categorized into five approaches: (1) endoscopic and robotic axillary, (2) anterior chest, (3) transoral, (4) retroauricular, and (5) a combination of these approaches. The limited data in the literature suggest that the cure rates and safety of RAP are in no way inferior to those of open parathyroidectomy. Each approach has its advantages and disadvantages, and the recommendations for the selection of each approach are listed. The selection of approach methods might depend on the surgeon's experience and familiarity and the patient's preference and disease status.

Authors

  • Yoshiyuki Saito
    Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
  • Yoshifumi Ikeda
    Department of Surgery, International University of Health and Welfare, Atami Hospital, Atami, Japan.
  • Hiroshi Takami
    Department of Surgery, Ito Hospital, Tokyo, Japan.
  • Amr H Abdelhamid Ahmed
    Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
  • Atsushi Nakao
    Department of Surgery Gastroenterology Center, International University of Health and Welfare, Mita Hospital, Tokyo, Japan.
  • Hiroshi Katoh
    Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
  • Keiso Ho
    Department of Surgery, International Goodwill Hospital, Yokohama, Japan.
  • Masato Tomita
    Department of Surgery, International Goodwill Hospital, Yokohama, Japan.
  • Michio Sato
    Department of Surgery, International Goodwill Hospital, Yokohama, Japan.
  • Neil S Tolley
    Imperial College Healthcare NHS Trust, London, UK.
  • Gregory W Randolph
    Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.

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