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Minimally Invasive Surgical Techniques: Critical Appraisal and Future Perspectives

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Minimally Invasive Therapies for Endocrine Neck Diseases

Abstract

The possibility of very limited accesses to parathyroid adenomas on one side and the necessity of wide accesses in case of extensive explorations for hyperplasias, recurrent diseases, and carcinoma on the opposite side, has mostly limited the diffusion of endoscopic approaches to hyperparathyroidism (HPT), both primary and secondary. In fact, still the majority of surgeons do favor the so-called minimally invasive parathyroidectomy, which is characterized by an open targeted operation through a small incision [1]. In spite of this reluctance towards the use of endoscopy or other related techniques the minimally invasive parathyroidectomy (MIVAP) [2], which is probably the most widespread endoscopic technique [3], is used by several surgeons throughout the world [4]. Other endoscopic techniques lost most of their appeal either because they implied long insufflations of the neck [5] or because they only offered the chance of exploring one side of the neck due to their lateral access [6].

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Pisa, Pisa, Italy

    Paolo Miccoli MD & Gabriele Materazzi MD

  2. Dipartimento di Patologia Chirurgica, Medica, Molecolare e dell’Area Critica, Via Paradisa n 2, Pisa, 56124, Italy

    Gabriele Materazzi MD

Authors
  1. Paolo Miccoli MD
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  2. Gabriele Materazzi MD
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Correspondence to Paolo Miccoli MD .

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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Miccoli, P., Materazzi, G. (2016). Minimally Invasive Surgical Techniques: Critical Appraisal and Future Perspectives. 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_16

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  • DOI: https://doi.org/10.1007/978-3-319-20065-1_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20064-4

  • Online ISBN: 978-3-319-20065-1

  • eBook Packages: MedicineMedicine (R0)

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