Use of da Vinci Si surgical system in total parathyroidectomy with autotransplantation for secondary renal hyperparathyroidism

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. Key words: Hyperparathyroidism, secondary; Parathyroidectomy; Parathyroid autotransplantation