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[Pectoral-retroauricular approach for endoscopic parathyroidectomy (experimental study)]
I A Kurganov1, S I Emelyanov1, D Yu Bogdanov1
1Chair of Endoscopic Surgery, Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Healthcare of Russia, Moscow, Russia.
Khirurgiia
|November 30, 2017
Summary
This study introduces a novel endoscopic pectoral-retroauricular approach for parathyroidectomy, reducing surgical trauma and instrument conflict. The method proved effective in 100% of cases, preserving the recurrent laryngeal nerve.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Endocrine Surgery
Background:
- Traditional parathyroidectomy can lead to surgical trauma and intraoperative complications.
- Extracervical approaches aim to minimize neck dissection and improve cosmetic outcomes.
Purpose of the Study:
- To develop and experimentally validate a new endoscopic parathyroidectomy technique.
- To reduce surgical trauma and prevent instrument conflicts during parathyroid surgery.
- To evaluate an extracervical approach for parathyroid gland removal.
Main Methods:
- Analysis of 10 experimental endoscopic parathyroidectomies.
- Utilized an original pectoral-retroauricular approach.
- Focused on preventing intraoperative instrument conflicts.
Main Results:
- Successful visualization and identification of parathyroid glands in 100% of cases.
- Recurrent laryngeal nerve preservation in 100% of procedures.
- Mean surgical time: 77.8±10.2 minutes; mean surgical exposure time: 50.3±6.7 minutes.
Conclusions:
- The endoscopic pectoral-retroauricular approach is methodologically sound.
- The technique is technically feasible for parathyroidectomy.
- This approach is recommended for clinical application in parathyroid surgery.
