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Related Experiment Video

Updated: Jun 8, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

[Transoral partial parathyroidectomy].

E Karakas1, T Steinfeldt, A Gockel

  • 1Klinik für Visceral-, Thorax- und Gefässchirurgie, Universitätsklinikum Giessen-Marburg GmbH, Standort Marburg, Deutschland. karakas@med.uni-marburg.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 14, 2010
PubMed
Summary
This summary is machine-generated.

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The Parathyroid Glands00:59

The Parathyroid Glands

The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by producing...

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This study reports the first transoral parathyroid adenoma excision, a novel minimally invasive surgery. This natural orifice endoscopic surgery approach minimizes trauma for patients with primary hyperparathyroidism.

Area of Science:

  • Endocrinology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Natural orifice transluminal endoscopic surgery (NOTES) offers reduced trauma and morbidity.
  • Thyroid and parathyroid glands' embryologic descent suggests feasibility of transoral access.
  • Prior studies established transoral access in animal models and cadavers.

Observation:

  • A 37-year-old woman with primary hyperparathyroidism underwent the procedure.
  • A sublingual mucosal incision facilitated transoral access to the thyroid region.
  • The parathyroid adenoma was successfully excised via the transoral route.

Findings:

  • The study demonstrates the first successful transoral excision of a parathyroid adenoma.
  • This technique leverages NOTES principles for endocrine surgery.

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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Related Experiment Videos

Last Updated: Jun 8, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

  • The procedure was performed following successful cadaveric and animal model validation.

    • Implications:

    • This transoral approach may offer a new, less invasive option for parathyroidectomy.
    • Further research can explore the broader application of NOTES in endocrine surgery.
    • This technique holds potential for improved patient recovery and cosmetic outcomes.