Endoscopic Parathyroid and Thyroid Surgery

  • L. Michael Brunt


General surgery has undergone a revolutionary change in the past several years due to the widespread introduction of laparoscopic surgery into clinical practice. Many open abdominal operations have now been largely replaced by laparoscopic procedures, which result in less morbidity and postoperative pain, produce less scarring, and lead to a faster recovery [1]. Because of this change, surgeons have been seeking less invasive or minimally invasive methods for performing a variety of procedures, either by endoscopic techniques or with smaller open incisions. In the field of endocrine surgery, laparoscopic adrenalectomy has already supplanted open adrenalectomy at many institutions [2–5], and laparoscopic techniques have been used in patients with pancreatic islet cell tumors [6].


Recurrent Laryngeal Nerve Parathyroid Adenoma Laparoscopic Adrenalectomy Preoperative Localization Neck Exploration 
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References and Recommended Reading

  1. 1.
    Soper NJ, Brunt LM, Kerbl K: Laparoscopic general surgery. N Engl J Med 1994, 330:409–419.PubMedCrossRefGoogle Scholar
  2. 2.
    Duh Q-Y, Siperstein AE, Clark OH, et al.: Laparoscopic adrenalectomy: comparison of the lateral and posterior approaches. Arch Surg 1996, 131:870–876.PubMedCrossRefGoogle Scholar
  3. 3.
    Brunt LM, Doherty GM, Norton JA, et al.: Laparoscopic adrena-lectomy compared to open adrenalectomy for benign neoplasms. J Am Coll Surg 1996, 183:1–10.PubMedGoogle Scholar
  4. 4.
    Gagner M, Lacroix A, Bolte E, Pomp A: Laparoscopic adrenalectomy: the importance of a flank approach in the lateral position. Surg Endosc 1994, 8:135–138.PubMedCrossRefGoogle Scholar
  5. 5.
    Prinz RA: A comparison of laparoscopic and open adrenalec-tomies. Arch Surg 1995, 130:489–494.PubMedCrossRefGoogle Scholar
  6. 6.
    Gagner M, Pomp A, Herrera MF: Early experience with laparoscopic resections of islet cell tumors. Surgery 1996, 120:1051–1054.PubMedCrossRefGoogle Scholar
  7. 7.
    Habener JF, Potts JT, Jr.: Primary hyperparathyroidism. In Endocrinology, edn 2. Edited by De GRoot LJ, Besser GM, Cahill GF, et al. Philadelphia: WB Saunders; 1989:954–966.Google Scholar
  8. 8.
    Irvin GL, Prudhomme BS, Deriso GT, et al.: A new approach to parathyroidectomy. Ann Surg 1994, 219:574–581.PubMedCrossRefGoogle Scholar
  9. 9.
    Chapuis Y, Icard PH, Fulla Y, et al.: Parathyroid adenomectomy under local anesthesia with intraoperative monitoring of UcAMP and/or PTH. World J Surg 1992, 16:570–575.PubMedCrossRefGoogle Scholar
  10. 10.
    Arkles LB, Jones T, Hicks RJ, et al.: Impact of complementary parathyroid scintigraphy and ultrasonography on the surgical management of hyperparathyroidism. Surgery 1996, 120:845–851.PubMedCrossRefGoogle Scholar
  11. 11.
    Wei JP, Burke GJ: Analysis of savings in operative time for primary hyperparathyroidism using localization with technetium 99m sestamibi scan. Am J Surg 1995, 170:488–491.PubMedCrossRefGoogle Scholar
  12. 12.
    Johnston LB, Carroll MJ, Britton KE, et al.: The accuracy of parathyroid gland localization in primary hyperparathyroidism using sestamibi radionuclide imaging. J Clin Endocrinol Metab 1996, 81:346–352.PubMedCrossRefGoogle Scholar
  13. 13.
    Brunt LM, Jones DB, Wu JS, et al.: Experimental development of an endoscopic approach to neck exploration and parathyroidectomy. Surgery 1997, 122:893–901.PubMedCrossRefGoogle Scholar
  14. 14.
    Hullinger RL. The endocrine system. In Miller’s Anatomy of the Dog, edn 2. Edited by Evans HE, Christensen GC. Philadelphia: WB Saunders; 1979:602–631.Google Scholar
  15. 15.
    Gagner M, Breton G: Endoscopie parathyroidectomy, thyroidectomy, esophageal myotomy, and cervical lymph node dissection: technical aspects. Surg Endosc 1996, 10:230.Google Scholar
  16. 16.
    Norman J, Albrink MH: Minimally invasive parathyroidectomy: a feasibility study in dogs and humans. J Laparoendosc Adv Surg Tech 1997, 7:301–306.CrossRefGoogle Scholar
  17. 17.
    Gagner M: Endoscopie parathyroidectomy. Br J Surg 1996, 83:875.PubMedCrossRefGoogle Scholar
  18. 18.
    Miccoli P: Video-assisted parathyroidectomy. J Endocrinol Invest 1997, 20:429–430.PubMedGoogle Scholar
  19. 19.
    Norman JG, Chheda H: Minimally invasive parathyroidectomy facilitated by intraoperative nuclear mapping. Surgery 1997, 122:998–1004.PubMedCrossRefGoogle Scholar
  20. 20.
    Prinz RA, Lonchyna V, Carnaille B, et al.: Thoracoscopic excision of enlarged mediastinal parathyroid glands. Surgery 1994, 116:999–1005.PubMedGoogle Scholar
  21. 21.
    Wei JP, Gadacz TR, Weisner LF, Burke GJ: The subxiphoid laparoscopic approach for resection of mediastinal parathyroid adenoma after successful localization with TC-99m-sestamibi radionuclide scan. Surg Laparosc Endosc 1995, 5:402–406.PubMedGoogle Scholar
  22. 22.
    Huscher CSG, Chiodini S, Napolitano C, Recher A: Endoscopie right thyroidectomy lobectomy. Surg Endosc 1997, 11:877.PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • L. Michael Brunt

There are no affiliations available

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