Our Summary

This research paper is about a relatively new method of thyroid surgery called transoral robotic thyroidectomy (TORT). This approach is considered less invasive and results in better cosmetic outcomes compared to traditional open surgery methods. However, there are not many studies on TORT, and there are no established clinical guidelines for its use. To address this, a group of Chinese experts in thyroid minimally invasive surgery and robotic thyroidectomy have written a consensus based on the latest research and their own clinical experiences. The hope is that this consensus will help guide other medical professionals in implementing and adopting TORT in China.

FAQs

  1. What is transoral robotic thyroidectomy (TORT)?
  2. What are the potential benefits of TORT compared to traditional open surgery methods?
  3. What is the purpose of the consensus written by the group of Chinese experts in thyroid minimally invasive surgery and robotic thyroidectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about parathyroidectomy is to follow post-operative care instructions carefully, including taking prescribed medications, attending follow-up appointments, and maintaining a healthy diet and exercise routine to support recovery and prevent complications. It is also important to communicate any concerns or symptoms to your healthcare provider promptly.

Suitable For

Patients who are typically recommended for parathyroidectomy include those with primary hyperparathyroidism, secondary hyperparathyroidism, tertiary hyperparathyroidism, and parathyroid cancer. Primary hyperparathyroidism is the most common indication for parathyroidectomy and is usually caused by a benign tumor in one or more of the parathyroid glands. Secondary hyperparathyroidism is often seen in patients with chronic kidney disease or vitamin D deficiency, while tertiary hyperparathyroidism occurs when secondary hyperparathyroidism progresses to autonomous hyperfunction of the parathyroid glands. Parathyroid cancer is a rare but aggressive form of cancer that may also require surgical intervention. Additionally, patients with severe symptoms such as kidney stones, bone pain, fatigue, and cognitive impairment may also be recommended for parathyroidectomy to alleviate their symptoms and improve their quality of life.

Timeline

Before parathyroidectomy:

  1. Symptoms of hyperparathyroidism may be present, such as fatigue, weakness, bone pain, kidney stones, and gastrointestinal issues.
  2. Blood tests reveal elevated levels of calcium and parathyroid hormone.
  3. Imaging studies, such as ultrasound or sestamibi scans, are performed to locate the abnormal parathyroid gland.

After parathyroidectomy:

  1. The patient undergoes the surgical procedure, which may be done using traditional open surgery or minimally invasive techniques such as robotic-assisted surgery.
  2. Recovery time varies but typically involves a hospital stay of 1-2 days and a period of restricted activity.
  3. Follow-up appointments are scheduled to monitor calcium levels and ensure proper healing.
  4. Symptoms of hyperparathyroidism gradually resolve as the body adjusts to normal calcium levels.
  5. Long-term follow-up is necessary to monitor for potential complications and ensure the success of the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications of parathyroidectomy surgery?
  2. How long is the recovery period after parathyroidectomy surgery?
  3. Will I need to take any medications or follow a special diet after the surgery?
  4. How soon after surgery can I resume normal activities and work?
  5. What are the chances of the parathyroid gland becoming overactive again after surgery?
  6. How will my calcium levels be monitored post-surgery?
  7. Are there any long-term effects or complications I should be aware of?
  8. What alternatives to parathyroidectomy surgery are available and how do they compare in terms of effectiveness and risks?
  9. How experienced are you in performing parathyroidectomy surgeries, and what is your success rate?
  10. Are there any specific pre-operative instructions or tests I need to follow before the surgery?

Reference

Authors: He Q, Tian W, Wang P, Wang X; Expert Working Group on Thyroid Surgery, Chinese Medical Doctor Association Division of Surgeons, Thyroid Disease Committee of Chinese Research Hospital Association, General Surgery Branch of China International Exchange, Promotive Association for Medical, Health Care. Journal: J Robot Surg. 2024 Dec 2;19(1):15. doi: 10.1007/s11701-024-02173-5. PMID: 39617782