Endoscopically assisted, minimally invasive parathyroidectomy.

摘要: Background: Despite the success of open parathyroid exploration, minimally invasive alternatives have been emerging. This study reports an experience with endoscopically assisted, parathyroidectomy and evaluates its current role in patients undergoing surgery for hyperparathyroidism. Methods: One hundred consecutive requiring hyperparathyroidism were evaluated. Endoscopic was offered based on absence coexisting nodular thyroid disease, previous neck or irradiation, suspicion hyperplasia, other anatomical medical contraindications. Some 24 100 fulfilled criteria underwent endoscopic parathyroidectomy. Unequivocal localization to a single site by technetium-99m-radiolabelled sestamibi scan allowed removal adenoma through 25-mm suprasternal incision while being guided surgical telescope. Results: There no statistically significant differences operating time mean size resected adenomas between Four required conversion procedure. Two developed temporary recurrent laryngeal nerve paresis one had persistent hyperparathyroidism. Conclusion: Although is technically feasible, applicability limited minority operation hyperparathyroidism. The potential higher complication failure rates makes optimism procedure appropriately guarded. © 1999 British Journal Surgery Society Ltd