Surgical Endoscopy

, Volume 14 , Issue 11 , pp 987 –990

Minimally invasive parathyroid surgery

  • P.  Miccoli
  • J. M.  Monchik

DOI: 10.1007/s004640000192

Cite this article as:
Miccoli, P. & Monchik, J. Surg Endosc (2000) 14: 987. doi:10.1007/s004640000192

Abstract

Background: Minimally invasive access for the treatment of primary hyperparathyroidism is becoming widespread, but several different approaches have been proposed in the literature.

Methods: We describe the three main types of mini-invasive parathyroidectomy, with particular attention to the gasless video-assisted procedure, which is now routinely performed at our institution.

Results: Eighty-nine patients with a preoperatively localized single adenoma were successfully treated. Operative time was 58 mins, and there were only five conversions. Discussion: After comparing the different approaches described in literature, we conclude that mini-invasive parathyroidectomy is feasible and can provide additional benefits not available with traditional surgery. At present, however, this operation can be recommended only for patients with sporadic disease, localized lesions, and absence of goiter and prior neck surgery.

Key words: Minimally invasive surgery — Endoscopy — Parathyroid surgery — Primary hyperparathyroidism

Copyright information

© Springer-Verlag New York Inc. 2000

Authors and Affiliations

  • P.  Miccoli
    • 1
  • J. M.  Monchik
    • 2
  1. 1.Unit of Endocrine Surgery, Department of Surgery, University of Pisa, Via Roma 67, Pisa, ItalyIT
  2. 2.Endocrine Surgical Department, Rhode Island Hospital, Brown University School of Medicine, Providence, RI 02906, USAUS