Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Endoscopically assisted, minimally invasive parathyroidectomy.

P G Gauger1, T S Reeve, L W Delbridge

  • 1Endocrine Surgical Unit, Department of Surgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

The British Journal of Surgery
|December 14, 1999
PubMed
Summary

Endoscopic parathyroidectomy is technically feasible for select hyperparathyroidism patients but has limited applicability. Higher complication and failure rates warrant caution with this minimally invasive approach.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Risk of needing completion thyroidectomy for low-risk papillary thyroid cancers treated by lobectomy.

BJS open·2019
Same author

Needs assessment can guide creation of a "resident-optimized clinic" in surgery.

American journal of surgery·2019
Same author

Blood Volume in Malignant Disease: Case Studies in 86 Females1.

The Australian and New Zealand journal of surgery·2017
Same author

Refining the Definitions of Biochemical and Clinical Cure for Primary Aldosteronism Using the Primary Aldosteronism Surgical Outcome (PASO) Classification System.

World journal of surgery·2017
Same author

Mortality associated with primary hyperparathyroidism.

Bone·2015
Same author

The Australian experience with the Bethesda classification system for thyroid fine needle aspiration biopsies.

Pathology·2014

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgical Techniques

Background:

  • Open parathyroid exploration is standard for hyperparathyroidism.
  • Minimally invasive surgical alternatives are gaining traction.

Purpose of the Study:

  • Evaluate the role and outcomes of endoscopically assisted parathyroidectomy.
  • Assess the feasibility of minimally invasive parathyroid surgery.

Main Methods:

  • 100 hyperparathyroidism patients evaluated; 24 underwent endoscopic parathyroidectomy.
  • Criteria for endoscopic approach included absence of contraindications and single-site localization via sestamibi scan.
  • Surgery performed via a 25-mm suprasternal incision using endoscopic guidance.

Main Results:

Related Experiment Videos

  • No significant difference in operating time or adenoma size compared to open surgery.
  • Four patients required conversion to open procedure.
  • Complications included temporary recurrent laryngeal nerve paresis (2) and persistent hyperparathyroidism (1).

    • Conclusions:

    • Endoscopic parathyroidectomy is technically feasible but applicable to a minority of patients.
    • Potential for increased complication and failure rates necessitates guarded optimism.
    • Limited applicability restricts widespread adoption for hyperparathyroidism treatment.