Minimally-invasive parathyroid surgery
During the last two decades, several techniques for minimally-invasive parathyroidectomy have been developed, including open approaches (open minimally-invasive parathyroidectomy – OMI P), minimally-invasive radio-guided parathyroidectomy (MI-RP), video-assisted parathyroidectomy (VAP), video-assist...
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Pacini Editore SpA
2011
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203720/ |
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pubmed-3203720 |
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pubmed-32037202011-11-04 Minimally-invasive parathyroid surgery BELLANTONE, R. RAFFAELLI, M. DE CREA, C. TRAINI, E. LOMBARDI, C.P. Review Article During the last two decades, several techniques for minimally-invasive parathyroidectomy have been developed, including open approaches (open minimally-invasive parathyroidectomy – OMI P), minimally-invasive radio-guided parathyroidectomy (MI-RP), video-assisted parathyroidectomy (VAP), video-assisted parathyroidectomy through a lateral approach (VAP-LA) and purely endoscopic parathyroidectomy (EP). We have reviewed the pertinent literature, analyzing the indications, outcomes, advantages and disadvantages of the different techniques. Even if the field of minimally-invasive parathyroidectomy is heterogeneous, there is some evidence that minimally-invasive video-assisted parathyroidectomy (MIVAP) should be preferred over OMIP for better cosmetic outcomes, improved visualization of neck structures and control of pain. There is also low-level evidence that MIVAP has some advantages over other purely endoscopic procedures for parathyroidectomy and VAP-LA, in terms of technical difficulties, in addition to the possibility to perform bilateral exploration and associated procedures on the thyroid gland. While the data on medium-term results are encouraging, longer follow-up times are still needed to confirm its safety and rate of cure with respect to conventional surgery. It has been demonstrated that MIVAP is also feasible in secondary and familial hyperparathyroidism, although no conclusive data are available. Pacini Editore SpA 2011-08 /pmc/articles/PMC3203720/ /pubmed/22065831 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/ |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
BELLANTONE, R. RAFFAELLI, M. DE CREA, C. TRAINI, E. LOMBARDI, C.P. |
| spellingShingle |
BELLANTONE, R. RAFFAELLI, M. DE CREA, C. TRAINI, E. LOMBARDI, C.P. Minimally-invasive parathyroid surgery |
| author_facet |
BELLANTONE, R. RAFFAELLI, M. DE CREA, C. TRAINI, E. LOMBARDI, C.P. |
| author_sort |
BELLANTONE, R. |
| title |
Minimally-invasive parathyroid surgery |
| title_short |
Minimally-invasive parathyroid surgery |
| title_full |
Minimally-invasive parathyroid surgery |
| title_fullStr |
Minimally-invasive parathyroid surgery |
| title_full_unstemmed |
Minimally-invasive parathyroid surgery |
| title_sort |
minimally-invasive parathyroid surgery |
| description |
During the last two decades, several techniques for minimally-invasive parathyroidectomy have been developed, including open approaches (open minimally-invasive parathyroidectomy – OMI P), minimally-invasive radio-guided parathyroidectomy (MI-RP), video-assisted parathyroidectomy (VAP), video-assisted parathyroidectomy through a lateral approach (VAP-LA) and purely endoscopic parathyroidectomy (EP). We have reviewed the pertinent literature, analyzing the indications, outcomes, advantages and disadvantages of the different techniques. Even if the field of minimally-invasive parathyroidectomy is heterogeneous, there is some evidence that minimally-invasive video-assisted parathyroidectomy (MIVAP) should be preferred over OMIP for better cosmetic outcomes, improved visualization of neck structures and control of pain. There is also low-level evidence that MIVAP has some advantages over other purely endoscopic procedures for parathyroidectomy and VAP-LA, in terms of technical difficulties, in addition to the possibility to perform bilateral exploration and associated procedures on the thyroid gland. While the data on medium-term results are encouraging, longer follow-up times are still needed to confirm its safety and rate of cure with respect to conventional surgery. It has been demonstrated that MIVAP is also feasible in secondary and familial hyperparathyroidism, although no conclusive data are available. |
| publisher |
Pacini Editore SpA |
| publishDate |
2011 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203720/ |
| _version_ |
1611484283184087040 |