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Updated: May 20, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Minimally invasive endoscopic selective parathyroidectomy.

Montasir Junaid1, Zainul Abedeen Sobani, Maliha Kazi

  • 1Department of Otolaryngology, Head & Neck Surgery, Aga Khan University, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|July 5, 2012
PubMed
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Minimally invasive endoscopic selective parathyroidectomy offers a safe and effective approach for primary hyperparathyroidism. This technique limits neck exploration to the abnormal gland, reducing surgical risks and improving patient outcomes.

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Primary hyperparathyroidism is a common endocrine disorder often treated surgically.
  • Optimal surgical strategy, unilateral versus bilateral neck exploration, remains debated.
  • Minimally invasive techniques are increasingly favored due to potential benefits.

Observation:

  • This study describes a minimally invasive endoscopic selective parathyroidectomy procedure.
  • The technique was performed on five patients with primary hyperparathyroidism.
  • Advanced imaging and localization guided the selective removal of hyper-functioning glands.

Findings:

  • The described endoscopic approach facilitates targeted neck exploration.
  • Selective parathyroidectomy limits operative time, anesthesia, and hospital stay.

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  • This method potentially reduces risks associated with extensive neck surgery.

    • Implications:

    • Endoscopic selective parathyroidectomy may become a standard for treating primary hyperparathyroidism.
    • This approach enhances patient safety by minimizing surgical invasiveness.
    • Further research can validate long-term outcomes and broader applicability.