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Minimally invasive video-assisted parathyroidectomy (MIVAP) without intraoperative PTH determination

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Abstract

Background

Minimally invasive video-assisted parathyroidectomy (MIVAP) has become a standard approach to primary hyperparathyroidism (pHPT) since described. Although intraoperative parathyroid hormone assay (IOPTH) has been generalized as a complementary technique to MIVAP, its actual impact on the surgical success of this technique is not without controversy. The aim of this study was to describe our results in the management of pHPT with successful preoperative localization, by MIVAP technique, without IOPTH determination, confirming in a larger series our preliminary results.

Methods

A retrospective descriptive study was conducted in pHPT patients treated by MIVAP with no IOPTH determination in a tertiary hospital between 2007 and 2019.

Results

A total of 167 patients were included in the study. Biochemical cure was achieved in 96.4%, and 94.1% did not present any surgical complication. The mean duration of surgery was 61 min, and the mean length of hospital stay was 1.8 days

Conclusions

In case of positive preoperative localization studies, MIVAP is a safe and effective technique for the surgical treatment of pHPT due to a parathyroid adenoma, regardless of IOPTH determination, with a success rate > 95% and a low complication rate.

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Availability of data and material

Authors declare that all data and materials are available for review.

Code availability

Statistical analyses were performed using IBM SPSS statistics software version 22 for macOS.

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Funding

No funds, grants, or other support was received.

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Authors and Affiliations

  1. Department of Otolaryngology, Hospital Universitario Central de Asturias, IUOPA, University of Oviedo, Centro de Investigación Biomédica en Red de Cancer (CIBERONC), Oviedo, Spain

    Rodrigo Casanueva, Fernando López, Andrés Coca-Pelaz, José L. Llorente & Juan P. Rodrigo

  2. Instituto de Investigación Sanitaria del Principado de Asturias and Centro de Investigación Biomédica en Red de Cancer (CIBERONC), ISCIII, Oviedo, Spain

    Fernando López, Andrés Coca-Pelaz, José L. Llorente & Juan P. Rodrigo

  3. Instituto Universitario de Oncologia del Principado de Asturias, University of Oviedo, Oviedo, Spain

    Fernando López, Andrés Coca-Pelaz, José L. Llorente & Juan P. Rodrigo

Authors
  1. Rodrigo Casanueva
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  2. Fernando López
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  3. Andrés Coca-Pelaz
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  4. José L. Llorente
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  5. Juan P. Rodrigo
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Corresponding author

Correspondence to Rodrigo Casanueva.

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The authors have no relevant financial or non-financial interests to disclose.

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki.

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Informed consent was obtained from patients who participated in this study.

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Publication consent was obtained from the patients who participated in this study.

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Casanueva, R., López, F., Coca-Pelaz, A. et al. Minimally invasive video-assisted parathyroidectomy (MIVAP) without intraoperative PTH determination. Eur Arch Otorhinolaryngol 278, 4997–5001 (2021). https://doi.org/10.1007/s00405-021-06740-6

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  • DOI: https://doi.org/10.1007/s00405-021-06740-6

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