This study aims to assess the feasibility of utilizing the da Vinci robotic system for assisting in pediatric parathyroidectomy.

A retrospective analysis was performed on the clinical data of a child diagnosed with primary hyperparathyroidism, treated at No.960 Hospital of People′s Liberation Army. Preoperative evaluations were completed, and contraindications for surgery were excluded. In May 2024, a da Vinci robotic-assisted parathyroidectomy was carried out. The surgical procedure and long-term symptom relief were monitored.

The surgery lasted approximately 95 minutes, with intraoperative blood loss of 10 ml. Ten minutes after the removal of the target parathyroid gland, the parathyroid hormone (PTH) level had decreased by more than 50% compared to preoperative values. The drainage tube was removed on postoperative day 4, with no complications. At the 12-month follow-up, thyroid and urinary system ultrasounds showed no significant abnormalities. Blood calcium was 2.36 mmol/L, phosphate was 1.53 mmol/L, PTH was 40.30 pg/ml, 25(OH)D was 27.42 ng/mL, calcitonin (CT) was 1.50 pg/ml, and thyroid function was normal. The cosmetic result was satisfactory.

Da Vinci robotic-assisted parathyroidectomy in pediatric patients is both safe and feasible. However, additional clinical cases are required to validate these findings.