He Qingqing, Tian Wen, Liao Quan, Wang Ping, Wang Xudong, Wu Guoyang, Li Chao
Department of Thyroid and Breast Surgery, The 960th Hospital of the People's Liberation Army, Jinan, 250031, Shandong Province, China.
Department of General Surgery, General Hospital of the People's Liberation Army, Beijing, 100853, China.
Surg Endosc. 2025 Jul 14. doi: 10.1007/s00464-025-11866-3.
With the increasingly widespread use of endoscopic and robotic surgery as intelligent and precise forms of minimally invasive surgery in parathyroid surgery, and in response to the lack of uniform guidelines for their clinical practice, this expert consensus has been formulated with the aim of promoting the standardized implementation and promotion of endoscopic and robotic parathyroid surgery.
Based on the latest literature and multicenter clinical experience, the expert group on thyroid surgery of the College of Surgeons of the Chinese Medical Association, the Thyroid Disease Specialty Committee of the Chinese Association of Research Hospitals and the Parathyroid and Bone Metabolism Disease Specialty Committee of the Chinese Association of Research Hospitals, the recommendations were formulated by a thorough discussion and multiple rounds of voting, and were ultimately developed This consensus (2025 edition).
This consensus systematically describes the indications and contraindications for endoscopic and robotic parathyroid surgery (especially primary hyperparathyroidism PHPT, secondary SHPT, and tertiary THPT), preoperative evaluation and preparation (whole-body assessment, stereotactic approach, and equipment selection), surgical equipment and instruments, operator qualification and training, choice of surgical access (robotic: BABA, non-inflatable The key contents include axillary approach, transoral vestibular approach; endoscopic: neck, chest and breast, transoral, etc.), key points of surgical operation and perioperative management, and prevention and treatment of complications.
The Chinese Expert Consensus on Endoscopic and Robotic Parathyroid Surgery (2025 Edition) provides comprehensive guidance and reference for clinicians to standardize, safely and effectively perform endoscopic and robotic parathyroid surgery.
随着内镜手术和机器人手术作为甲状旁腺手术中智能且精确的微创手术形式的日益广泛应用，针对其临床实践缺乏统一指南的情况，制定本专家共识，旨在促进内镜和机器人甲状旁腺手术的规范实施与推广。
基于最新文献及多中心临床经验，中华医学会外科学分会甲状腺外科学组、中国研究型医院学会甲状腺疾病专业委员会及中国研究型医院学会甲状旁腺和骨代谢疾病专业委员会的专家组，经深入讨论及多轮投票制定建议，最终形成本共识（2025版）。
本共识系统阐述了内镜和机器人甲状旁腺手术（尤其是原发性甲状旁腺功能亢进症PHPT、继发性甲状旁腺功能亢进症SHPT和三发性甲状旁腺功能亢进症THPT）的适应证和禁忌证、术前评估与准备（全身评估、立体定向方法及设备选择）、手术设备与器械、术者资质与培训、手术入路选择（机器人手术：BABA、非充气腋窝入路、经口前庭入路；内镜手术：颈部、胸乳、经口等）、手术操作要点及围手术期管理，以及并发症的防治。
《中国内镜及机器人甲状旁腺手术专家共识（2025版）》为临床医生规范、安全、有效地开展内镜和机器人甲状旁腺手术提供了全面的指导与参考。
