Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature

doi:10.12998/wjcc.v6.i12.542

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World Journal of Clinical Cases

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Oct 26, 2018; 6(12): 542-547
Published online Oct 26, 2018. doi: 10.12998/wjcc.v6.i12.542

Robotic transoral vestibular parathyroidectomy: Two case reports and review of literature

Yasar Ozdenkaya, Cenk Ersavas, Naciye Cigdem Arslan

Yasar Ozdenkaya, Cenk Ersavas, Naciye Cigdem Arslan, Department of General Surgery, Medipol University, Istanbul 34214, Turkey

Author contributions: Ozdenkaya Y and Arslan NC designed the report; Ozdenkaya Y and Ersavas C collected the patients’ clinical data; Ozdenkaya Y and Arslan NC analyzed the data and wrote the paper.

Informed consent statement: Consent was obtained from patients for publication of this report and any accompanying images.

Conflict-of-interest statement: The authors declare no conflict of interest or funding received for this work.

Correspondence to: Yasar Ozdenkaya, MD, Assistant Professor, Surgeon, Department of General Surgery, Medipol University, Goztepe Mah, Metin Sk. 4, Istanbul 34214, Turkey. yozdenkaya@yahoo.com

Telephone: +90-533-2516339 Fax: +90-212-4607162

Received: July 31, 2018
Peer-review started: July 31, 2018
First decision: August 20, 2018
Revised: August 27, 2018
Accepted: August 28, 2018
Article in press: August 30, 2018
Published online: October 26, 2018
Processing time: 87 Days and 8.9 Hours

ARTICLE HIGHLIGHTS

Case characteristics

The patients presented with asymptomatic hypercalcemia.

Clinical diagnosis

All the patients were diagnosed with parathyroid adenoma.

Differential diagnosis

Neck ultrasound and parathyroid scintigraphy were performed to identify the etiology of primary hyperparathyroidism.

Laboratory diagnosis

Calcium and parathormone levels were elevated and intraoperative decrease of parathormone was observed in all cases.

Imaging diagnosis

Single parathyroid adenoma was detected in all cases.

Pathological diagnosis

Diagnose of parathyroid adenoma was confirmed by postoperative histopathologic examination.

Treatment

Robotic transoral vestibular parathyroidectomy was performed.

Related reports

Udelsman R, Anuwong A, Oprea AD, Rhodes A, Prasad M, Sansone M, Brooks C, Donovan PI, Jannitto C, Carling T. Trans-oral Vestibular Endocrine Surgery: A New Technique in the United States. Ann Surg 2016; 264: e13-e16 [PMID: 27649533]

Experiences and lessons

Robotic transoral vestibular approach is a safe and feasible method for well-located parathyroid adenomas.