Transaxillary single-port subtotal parathyroidectomy: feasibility study in cadavers

Autor: Alexandre Elmães de Marsillac, Rossano Kepler Alvim Fiorelli, Henrique Neubarth Phillips, Pietro Novellino, André Lacerda Oliveira, Ricardo Paiva A. Scheiba Zorron
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Předmět:
Zdroj: Revista do Colégio Brasileiro de Cirurgiões, Vol 44, Iss 2, Pp 125-130
Druh dokumentu: article
ISSN: 1809-4546
0100-6991
DOI: 10.1590/0100-69912017002003
Popis: ABSTRACT Objective : to test the minimally invasive technique of single-port transaxillary subtotal parathyroidectomy in non-formalized cadavers to evaluate its viability and reproduction. Method : we performed ten subtotal parathyroidectomies through a transaxillary TriPort access in cadavers. The technique consisted of access through the axillary fossa, creating a subcutaneous tunnel to the anterior cervical region, for handling of the thyroid gland and dissection and resection of the parathyroid glands. Results : all surgeries were successful. The mean time of surgery was 65 minutes (57-79 min), with uncomplicated identification of all anatomical structures. There was no need for complementary incisions in the cervical region. Conclusion : the transaxillary single-port subtotal parathyroidectomy technique was feasible and reproducible, suggesting an alternative for minimally invasive cervical surgery.
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