Video-Assisted Endoscopic Thyroid and Parathyroid Surgery Using a Gasless Method of Anterior Neck Skin Lifting: A Review of 130 Cases

Shimizu, Kazuo; Kitagawa, Wataru; Akasu, Haruki; Hatori, Nobuo; Hirai, Kyoji; Tanaka, Shigeo

doi:10.1007/s005950200168

Cited by 51 publications

(27 citation statements)

References 18 publications

(6 reference statements)

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“…They included procedures that imply the utilization of the endoscope (video-assisted and endoscopic parathyroidectomy) [1,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] or not (minimally invasive 'open' parathyroidectomy) [4,5,19,23] .…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…A large number of reports discussed about the feasibility, reproducibility and validity of all these approaches [17][18][19][20][21][22] . In some papers the invasiveness of the procedure has been evaluated in relationship to the scar length [19,23] .…”

Section: Introductionmentioning

confidence: 99%

Advantages of a Video-Assisted Approach to Parathyroidectomy

Lombardi

Raffaelli²,

Traini³

et al. 2008

ORL

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“…In jüngster Zeit wurden minimal-invasive Techniken zur Schilddrüsenresektion entwickelt [1,2,4]. Da als potenzielle Vorteile der neuen Verfahren die besseren kosmetischen Resultate diskutiert werden, erschien es notwendig, überhaupt die kosmetischen Langzeitergebnisse nach konventionellen Resektionen zu evaluieren.…”

Section: Abb 5 8 Bewertung Des Kosmetischen Ergebnisses Der Patienteunclassified

“…In den letzten Jahren werden zunehmend MIC-Techniken zur Schilddrüsen-resektion propagiert und dabei auf die besseren kosmetischen Resultate hingewiesen [1,2,4]. Da aufgrund der exponierten Lage die Kosmetik und Beschwerden durch die Narbe von großer Bedeutung sind, sollten in einer prospektiven Erhebung die Langzeitergebnisse nach Schilddrüsenresektionen ermittelt werden, um erfassen zu können, ob der Zugang in der konventionellen Schilddrüsenchirurgie problematisch ist.…”

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Kosmetische Sp�tergebnisse nach Schilddr�senresektionen

Böhm

Minner

Engelhardt

et al. 2005

Chirurg

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“…Another less commonly used modification of MIVAT technique is the video-assisted neck surgery where an anterior neck flap is lifted without using gas insufflation and a tent-like working space is created. 9 Minimally invasive open surgery techniques are also known as 'small incision thyroidectomy' and do not require specialised instruments like endoscopes and video assistance. 10 Broadly speaking these techniques are similar to conventional thyroidectomy but differ only in the length of the incision.…”

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confidence: 99%