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Background <p>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.</p> Methods <p>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).</p> Results <p>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.</p> Conclusion <p>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.</p>

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Chinese expert consensus on endoscopic and robotic parathyroid surgery (version 2025)

  • 期刊论文

  • 发表日期：

    2025年7月14日

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  • Qingqing He,
  • Wen Tian,
  • Quan Liao,
  • Ping Wang,
  • Xudong Wang,
  • Guoyang Wu,
  • Chao Li,
  • Zhilong Ai,
  • Xiaoming Cha,
  • Ruochuan Cheng,
  • Wenjie Dai,
  • Youben Fan,
  • Linjun Fan,
  • Peizhi Fan,
  • Minghua Ge,
  • Zhuming Guo,
  • Xianghui He,
  • Qingqing He,
  • Tao Huang,
  • Xiaoming Huang,
  • Kewei Jiang,
  • Hua Kang,
  • Shangtong Lei,
  • Honghao Li,
  • Chao Li,
  • Jiehua Li,
  • Xiaojiang Li,
  • Xiaolei Li,
  • Xinying Li,
  • Xingrui Li,
  • Yongping Li,
  • Zhihui Li,
  • Haiying Liao,
  • Quan Liao,
  • Shaoyan Liu,
  • Jing Lv,
  • Rui Ling,
  • Xiubo Lu,
  • Yao Lu,
  • Dingcun Luo,
  • Yunhan Ma,
  • Jianzhong Meng,
  • Xianying Meng,
  • Jun Qian,
  • Huadong Qin,
  • Jianwu Qin,
  • Meiping Shen,
  • Anping Su,
  • Xinliang Su,
  • Zijie Su,
  • Hui Sun,
  • Wen Tian,
  • Xingsong Tian,
  • Zhaohui Wang,
  • Jun Wang,
  • Ping Wang,
  • Xudong Wang,
  • Yu Wang,
  • Yulong Wang,
  • Wei Wei,
  • Zhixin Wei,
  • Yijun Wu,
  • Gaosong Wu,
  • Guoyang Wu,
  • Lei Xie,
  • Bo Xu,
  • Qing Xu,
  • Yan Xu,
  • Gang Xue,
  • Jiqi Yan,
  • Ankui Yang,
  • Xiaodong Yang,
  • Detao Yin,
  • Jichun Yu,
  • Bai Zhang,
  • Bin Zhang,
  • Daqi Zhang,
  • Deguang Zhang,
  • Hao Zhang,
  • Shenglai Zhang,
  • Yi Zhang,
  • Yuan Zhang,
  • Wei Zhang,
  • Daiwei Zhao,
  • Wenxin Zhao,
  • Yongfu Zhao,
  • Huadong Zhao,
  • Qingdong Zeng,
  • Luming Zheng,
  • Chuanming Zheng,
  • Haitao Zheng,
  • Peng Zhou,
  • Jian Zhu,
  • Jingqiang Zhu,
  • Dayong Zhuang,
  • Peng Zhou,
  • Zhonghui Li,
  • Bing Wang,
  • Surong Hua

摘要

Background

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.

Methods

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).

Results

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.

Conclusion

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.