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Endoscopic Parathyroidectomy

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Minimally Invasive Therapies for Endocrine Neck Diseases

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Abstract

For many years, the surgical treatment of choice of primary hyperparathyroidism (PHPT) has been bilateral cervical neck exploration. With the development of new imaging techniques, focused parathyroid surgery has progressively emerged. Concordant positive imaging is the necessary prelude for performing this technique. Appropriate patient selection for single gland disease is the key of successful targeted parathyroidectomy. The endoscopic approach is indicated in all cases in which the parathyroid adenoma is located posteriorly. The endoscopic lateral approach is safe and effective; it has some advantages and it is reserved for patients with sporadic PHPT, with a single adenoma well localized preoperatively and posteriorly located nearby of inferior laryngeal nerve. It permits a complete exploration of all anatomical elements of the retro-thyroidal area from the superior pedicle to the posterior-superior mediastinum. Morbidity is very low. The endoscopic parathyroidectomy has excellent results regarding hospital stay, postoperative time, and cosmetic results.

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Authors and Affiliations

  1. General, Endocrine and Metabolic Surgery, Hopital La Conception, Aix-Marseille University, 147 Boulevard Baille, 13385, Marseille, France

    Nunzia Cinzia Paladino, Carole Guérin, Eveline Slotema, Ilaria Fabiola Franco, Jean François Henry & Frédéric Sebag

Authors
  1. Nunzia Cinzia Paladino
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  2. Carole Guérin
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  3. Eveline Slotema
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  4. Ilaria Fabiola Franco
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  5. Jean François Henry
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  6. Frédéric Sebag
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Corresponding author

Correspondence to Frédéric Sebag .

Editor information

Editors and Affiliations

  1. Chief of Endocrine Surgery Unit, Policlinico Gemelli – CIC, Università Cattolica del Sacro Cuore, Rome, Milano, Italy

    Celestino Pio Lombardi

  2. Chief of Istituto Semeiotica Chirurgica, Chief of Endocrine and Metabolic Surgery Unit, Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

    Rocco Bellantone

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Paladino, N.C., Guérin, C., Slotema, E., Franco, I.F., Henry, J.F., Sebag, F. (2016). Endoscopic Parathyroidectomy. In: Lombardi, C., Bellantone, R. (eds) Minimally Invasive Therapies for Endocrine Neck Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-20065-1_14

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  • DOI: https://doi.org/10.1007/978-3-319-20065-1_14

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20064-4

  • Online ISBN: 978-3-319-20065-1

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