Imperial College London

Dr George Garas

Faculty of MedicineDepartment of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
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Contact

 

g.garas

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Arora:2018:10.1159/000488355,
author = {Arora, A and Garas, G and Tolley, N},
doi = {10.1159/000488355},
journal = {ORL; journal for oto-rhino-laryngology and its related specialties},
pages = {195--203},
title = {Robotic parathyroid surgery: current perspectives and future considerations},
url = {http://dx.doi.org/10.1159/000488355},
volume = {80},
year = {2018}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Robotic parathyroidectomy represents a novel surgical approach in the treatment of primary hyperparathyroidism when the parathyroid adenoma has been pre-operatively localised. It represents the "fourth generation" in the evolution of parathyroid surgery following a process of surgical evolution from cervicotomy and 4-gland exploration to a variety of minimally invasive, open and endoscopic, targeted approaches. The existing evidence (levels 2-3) supports it as a feasible and safe technique with equivalent results to targeted open parathyroidectomy for primary hyperparathyroidism in carefully selected patients. However, it takes longer to perform and is more costly than conventional parathyroidectomy. It offers superior cosmesis by completely avoiding a neck scar making it a valid option for those patients who for biological and/or cultural reasons may wish to avoid a neck scar. Robotic parathyroidectomy is not for every patient, surgeon, or hospital. Its application should be confined to high-volume centres and experienced surgeons. Intensive training and proctorship are required for its safe implementation combined with careful patient selection. This particularly relates to the patient's body habitus (BMI < 30 kg/m2) and concordance among the different imaging modalities used pre-operatively. With robotic market competition driving down costs, its role may change. For now, robotic parathyroidectomy occupies a niche role and can only be justified in a select subset of patients.
AU - Arora,A
AU - Garas,G
AU - Tolley,N
DO - 10.1159/000488355
EP - 203
PY - 2018///
SN - 0301-1569
SP - 195
TI - Robotic parathyroid surgery: current perspectives and future considerations
T2 - ORL; journal for oto-rhino-laryngology and its related specialties
UR - http://dx.doi.org/10.1159/000488355
UR - https://www.ncbi.nlm.nih.gov/pubmed/29788003
UR - http://hdl.handle.net/10044/1/59733
VL - 80
ER -