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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Video-assisted parathyroidectomy by a skin-lifting method for primary hyperparathyroidism
1Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. okido@linne.med.kyushu-u.ac.jp
Summary
This study introduces a novel skin-lifting technique for endoscopic parathyroidectomy, offering a minimally invasive approach. The method resulted in no complications and a cosmetically favorable outcome for treating parathyroid adenoma.
Area of Science:
- Minimally Invasive Surgery
- Endocrine Surgery
- Surgical Innovation
Background:
- Endoscopic surgery is expanding into neck procedures, including parathyroidectomy.
- Previous endoscopic parathyroidectomy methods using CO2 insufflation have reported complications.
- A novel skin-lifting technique is presented to address these complications.
Observation:
- A 65-year-old patient with primary hyperparathyroidism underwent video-assisted parathyroidectomy.
- The procedure involved a small clavicular incision and a lateral neck incision for skin lifting.
- A solitary adenoma of the left inferior parathyroid gland was targeted.
Findings:
- The skin-lifting method provided a sufficient operative view for parathyroid extirpation.
- The surgery was completed in 2 hours with minimal blood loss.
- The patient experienced minimal pain and no postoperative complications, with normalized calcium and parathyroid hormone levels.
Implications:
- The skin-lifting technique for endoscopic parathyroidectomy is a feasible and safe alternative.
- This approach offers cosmetic benefits and avoids complications associated with CO2 insufflation.
- It represents a promising advancement in the surgical treatment of parathyroid adenoma.
