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{Tolley:2015:10.1002/hed.23990,
author = {Tolley, N and Garas, G and Palazzo, F and Prichard, A and Chaidas, K and Cox, J and Darzi, A and Arora, A},
doi = {10.1002/hed.23990},
journal = {Head and Neck},
pages = {E300--E306},
title = {Long-term prospective evaluation comparing robotic parathyroidectomy with minimally invasive open parathyroidectomy for primary hyperparathyroidism},
url = {http://dx.doi.org/10.1002/hed.23990},
volume = {38},
year = {2015}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - BackgroundTargeted parathyroidectomy is a popular technique for localized pathology. No single technique is established as superior. The purpose of this study was to compare robotic-assisted parathyroidectomy (RAP) with the most common approach.MethodsThis was a prospective, nonrandomized study. Fifteen consecutive patients who underwent RAP were compared to 15 matched controls undergoing focused lateral parathyroidectomy (FLP).ResultsBiochemical cure occurred in 29 of 30 patients (97%). No major complications occurred, although there was 1 robotic conversion. RAP demonstrated a significant time reduction (R2 = 0.436; p = .01) but took much longer to perform than FLP (119 minutes vs 34 minutes; p = .001). RAP was associated with less initial postoperative pain (p = .036) and higher satisfaction with scar cosmesis (p = .002) until 6 months. Quality of life (QOL) improved in both groups (p = .007).ConclusionRAP provides superior early cosmesis with equivalent global health improvement compared to FLP. The high cost and learning curve may preclude widespread adoption. Further evaluation is necessary to establish its clinical efficacy regarding scar cosmesis.
AU - Tolley,N
AU - Garas,G
AU - Palazzo,F
AU - Prichard,A
AU - Chaidas,K
AU - Cox,J
AU - Darzi,A
AU - Arora,A
DO - 10.1002/hed.23990
EP - 306
PY - 2015///
SN - 1043-3074
SP - 300
TI - Long-term prospective evaluation comparing robotic parathyroidectomy with minimally invasive open parathyroidectomy for primary hyperparathyroidism
T2 - Head and Neck
UR - http://dx.doi.org/10.1002/hed.23990
UR - http://hdl.handle.net/10044/1/59955
VL - 38
ER -