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Updated: May 12, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Endoscopic surgery of the parathyroid glands: methods and principles
J-M Prades1, M Gavid, A T Timoshenko
1Service d'ORL et chirurgie cervico-faciale, CHU Nord, 42055 Saint-Étienne cedex 2, France. jean.michel.prades@univ-st-etienne.fr
Abstract:
Targeted endoscopic parathyroidectomy without gas insufflation is a relatively non-invasive means of discovering and resecting parathyroid adenomas in sporadic primary hyperparathyroidism. This standardized technique depends on the quality of the preoperative imaging: cervical ultrasound and sestamibi scintigraphy, and can be optimized by preoperative insertion of an ultrasound-guided "harpoon" and rapid peroperative parathyroid hormone analysis. Failure rates range between 1.7% and 4%.
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