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Related Experiment Video

Updated: Jun 7, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Endoscopic parathyroidectomy in primary hyperparathyroidism.

Jean-Michel Prades1, Alexander Asanau, Andrei P Timoshenko

  • 1Department of Otolaryngology-Head and Neck Surgery, North Hospital, Saint-Etienne University Hospital Centre, 42055 Saint-Etienne Cedex 2, France.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|November 4, 2010
PubMed
Summary
This summary is machine-generated.

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Endoscopic video-assisted parathyroidectomy (EP) is a safe and effective minimally invasive surgery for primary hyperparathyroidism (PHPT). This technique, suitable for selected patients, offers quick recovery and excellent outcomes.

Area of Science:

  • Endocrinology
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Endoscopic video-assisted parathyroidectomy (EP) has become increasingly accepted for primary hyperparathyroidism (PHPT).
  • The gasless endoscopic technique offers an attractive minimally invasive approach.
  • Preoperative localization using ultrasonography and 99m Tc-Sestamibi scintigraphy is crucial for patient selection.

Purpose of the Study:

  • To evaluate the surgical outcomes of endoscopic gasless parathyroidectomy (EP).
  • To assess the efficacy of preoperative imaging in patient selection for EP.
  • To determine the feasibility of introducing EP into general head and neck surgical practice.

Main Methods:

  • A retrospective analysis of 75 patients with sporadic PHPT undergoing EP between 2005 and 2009.

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Last Updated: Jun 7, 2026

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  • Patients were selected based on specific criteria, excluding significant goiter, prior neck surgery, need for thyroidectomy, obesity, and multiple enlarged glands.
  • Preoperative localization utilized ultrasonography and 99m Tc-Sestamibi scintigraphy.

    • Main Results:

    • 59 patients (78%) were candidates for EP; 77% had positive localization with 99m Tc-Sestamibi.
    • Conversion to open surgery was required in 18% of cases.
    • The procedure had a median operating time of 45 minutes, with no permanent hypocalcemia or recurrent laryngeal nerve palsy. 94% of patients had normal calcium and PTH levels at 3 months.

    Conclusions:

    • Endoscopic video-assisted parathyroidectomy (EP) is a quick, safe, and effective procedure for selected PHPT patients.
    • Preoperative imaging plays a vital role in patient selection and surgical planning.
    • EP can be readily integrated into standard head and neck surgical practices.