Minimally invasive videoscopic parathyroidectomy by lateral approach

Henry, J. F.; Deféchereux, Thierry; Gramática, Luis; Boissezon, C. De

doi:10.1007/s004230050207

Cited by 144 publications

(86 citation statements)

References 10 publications

(9 reference statements)

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“…Most authors reported excellent results without any false positive findings [5, 6, 7, 8, 9]. A 50% decrease of the PTH value within 10 min after resection of the hyperfunctional parathyroid tissue is generally used to predict permanent normocalcemia [10]and reports of false positive QPTH measurements are rare.…”

Section: Discussionmentioning

confidence: 99%

‘Suppressed’ Double Adenoma – A Rare Pitfall in Minimally Invasive Parathyroidectomy

Zettinig

Kurtaran

Prager³

et al. 2002

Horm Res Paediatr

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Since the introduction of a quick intraoperative parathyroid hormone (QPTH) assay, complete removal of hyperfunctioning parathyroid tissue can be proven during surgery. We report on a scintigraphically and biochemically documented patient with persistent primary hyperparathyroidism (PHPT) caused by suppressed hyperfunctioning parathyroid tissue. A left lower enlarged parathyroid gland was resected by minimally invasive open parathyroidectomy. QPTH measurements confirmed complete resection of hyperfunctioning tissue and histology showed a tumorous enlarged left lower parathyroid gland. The patient was normocalcemic until 1 month after surgery, when serum calcium increased again. A MIBI scan 6 months after surgery showed no evidence of hyperfunctioning parathyroid tissue. After an increase of PTH, a third MIBI scan another 3 months later was performed. Increased tracer uptake behind the lower pole of the right thyroid lobe was seen and confirmed by ultrasonography. Another tumorous enlarged parathyroid gland was removed. These findings support the hypothesis that smaller yet abnormal parathyroid glands can be suppressed and may become hypersecretory if left in situ after surgical removal of the larger gland.

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Section: Discussionmentioning

confidence: 99%

‘Suppressed’ Double Adenoma – A Rare Pitfall in Minimally Invasive Parathyroidectomy

Zettinig

Kurtaran

Prager³

et al. 2002

Horm Res Paediatr

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“…For these reasons, to date the most widely used techniques are the video-assisted parathyroidectomy (VAP) with cervical central access first described by Miccoli et al [6] and VAP via the lateral approach proposed by Henry et al [7] . Because of its resemblance with conventional surgery, the possibility to perform a bilateral neck exploration when necessary and the possibility to freely modify the endoscope orientation through the skin incision, we chose to adopt in our surgical practice VAP by the central access.…”

Section: Introductionmentioning

confidence: 99%

Advantages of a Video-Assisted Approach to Parathyroidectomy

Lombardi

Raffaelli²,

Traini³

et al. 2008

ORL

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In recent years the advances in preoperative localization studies, the availability of intraoperative parathyroid hormone (PTH) assay and the introduction of cervicoscopy revolutionized the surgical treatment of primary hyperparathyroidism (PHPT). Several endoscopic and video-assisted techniques for parathyroidectomy have been described. In spite of the enthusiasm manifested by some authors, the role of these techniques with respect to the time-honored conventional surgery have been largely debated. Among them, video-assisted parathyroidectomy (VAP) has emerged as one of the leading and more diffuse techniques. To date many large and comparative studies have shown that VAP is an efficacious and feasible procedure with the same complication rate as conventional surgery. Moreover, VAP seems to have significant advantages in terms of cosmetic results, postoperative pain, recovery, and patient satisfaction. When compared with other minimally invasive techniques, it offers the significant advantages of being more similar to conventional surgery and reproducible in different surgical settings. Moreover, it permits bilateral neck exploration, associated thyroid resections and can be performed under locoregional anesthesia. All these characteristics and the excellent results obtained render VAP a valid and well-validated, and even preferable, alternative to conventional surgery for the surgical treatment of sporadic PHPT, especially in case of suspected single adenoma.

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“…The thyroid gland is approached laterally through splitting of strap muscle and SCM. Henry et al [15] first reported their technique on the endoscopic lateral approach in 1999. One 10-mm and two 3-mm ports were inserted along the SCM.…”

Section: Endoscopic Lateral Approachmentioning

confidence: 99%

Endoscopic Thyroidectomy: A Literature Review and Update

Wong

Lang

2012

Curr Surg Rep

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Since the first report of endoscopic subtotal parathyroidectomy in 1996, a variety of endoscopic surgical approaches has been reported. These endoscopic approaches include the minimally-invasive video-assisted thyroidectomy (MIVAT), the endoscopic lateral approach, the lateral mini-incision approach, the anterior/chest (hybrid) approach, the transaxillary approach, the axillobreast approach, the post-auricular and axillary approach, and other novel experimental approaches. Some of these approaches could be done with the assistance of the da Vinci robot (i.e. robotic-assisted thyroidectomy). For simplification, these approaches could be categorized into the cervical/direct approach and the extra-cervical/indirect approach. Each technique or approach has its own benefits and weaknesses. Currently, there is no preferred approach in the literature and the choice seems to be determined by the surgeon's own experience and the patient's preference. In our experience, the transaxillary approach was a technically more challenging procedure and was associated with longer hospital stay, longer operating time, more immediate pain, and increased overall RLN injury and morbidity than MIVAT. The 6-month scar appearance and patient satisfaction were similar between the two procedures.

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Minimally invasive videoscopic parathyroidectomy by lateral approach

Abstract: This preliminary study demonstrates that minimally invasive videoscopic parathyroidectomy by lateral approach is a feasible surgical procedure.

Cited by 144 publications

References 10 publications

‘Suppressed’ Double Adenoma – A Rare Pitfall in Minimally Invasive Parathyroidectomy

‘Suppressed’ Double Adenoma – A Rare Pitfall in Minimally Invasive Parathyroidectomy

Advantages of a Video-Assisted Approach to Parathyroidectomy

Endoscopic Thyroidectomy: A Literature Review and Update

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