Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Department of Surgery, International Goodwill Hospital, Yokohama, Japan.
Head Neck. 2022 Aug;44(8):1976-1990. doi: 10.1002/hed.27068. Epub 2022 Apr 25.
After our coauthors described the first remote-access parathyroidectomy (RAP) series in 2000, several other approaches were developed. No systematic review has been performed to classify and evaluate RAP techniques. We performed a literature search using PubMed and Cochrane Library (CENTRAL). A total of 71 studies met our inclusion/exclusion criteria. RAP can be categorized into five approaches: (1) endoscopic and robotic axillary, (2) anterior chest, (3) transoral, (4) retroauricular, and (5) a combination of these approaches. The limited data in the literature suggest that the cure rates and safety of RAP are in no way inferior to those of open parathyroidectomy. Each approach has its advantages and disadvantages, and the recommendations for the selection of each approach are listed. The selection of approach methods might depend on the surgeon's experience and familiarity and the patient's preference and disease status.
在我们的合著者于 2000 年描述了首例远程辅助甲状旁腺切除术（RAP）系列之后，又开发了几种其他方法。目前尚未进行系统评价来对 RAP 技术进行分类和评估。我们使用 PubMed 和 Cochrane Library（CENTRAL）进行了文献检索。共有 71 项研究符合我们的纳入/排除标准。RAP 可分为五种方法：（1）内窥镜和机器人腋窝入路，（2）前胸入路，（3）经口入路，（4）耳后入路，（5）这些方法的组合。文献中的有限数据表明，RAP 的治愈率和安全性并不逊于开放甲状旁腺切除术。每种方法都有其优缺点，并列出了每种方法的选择建议。方法的选择可能取决于外科医生的经验和熟悉程度，以及患者的偏好和疾病状况。
