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. 2017 Mar-Apr;44(2):125-130.
doi: 10.1590/0100-69912017002003.

Transaxillary single-port subtotal parathyroidectomy: feasibility study in cadavers

[Article in English, Portuguese]
Alexandre Elmães de Marsillac  1 , Rossano Kepler Alvim Fiorelli  1 , Henrique Neubarth Phillips  1 , Pietro Novellino  1 , André Lacerda Oliveira  2 , Ricardo Paiva A Scheiba Zorron  3
Affiliations
Free article

Transaxillary single-port subtotal parathyroidectomy: feasibility study in cadavers

[Article in English, Portuguese]
Alexandre Elmães de Marsillac et al. Rev Col Bras Cir. 2017 Mar-Apr.
Free article

Abstract
in English, Portuguese

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.

Objetivo: testar a técnica minimamente invasiva de paratireoidectomia subtotal transaxilar single-port em cadáveres não formalizados para avaliar sua viabilidade e reprodução.

Método: foram realizadas dez paratireoidectomias subtotais por via transaxilar através de acesso por TriPort em cadáveres. A técnica realizada consistiu em acesso pela fossa axilar, criando-se um túnel subcutâneo até a região cervical anterior, para manuseio da glândula tireoide e dissecção e ressecção das paratireoides.

Resultados: todas as cirurgias foram realizadas com sucesso. O tempo médio de cirurgia foi 65 minutos (57-79 min), com identificação, sem dificuldades, de todas as estruturas anatômicas. Não houve necessidade de incisões complementares na região cervical.

Conclusão: a técnica de paratireoidectomia subtotal transaxilar single-port foi viável e reprodutível, sugerindo uma alternativa para a cirurgia cervical minimamente invasiva.

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