[Endoscopic assisted parathyroid surgery via a subclavian approach]

Area of Science:

• Otolaryngology and Head and Neck Surgery
• Endocrine Surgery
• Minimally Invasive Surgical Techniques

Context:

• Parathyroid diseases, particularly primary hyperparathyroidism, often require surgical intervention.
• Traditional open parathyroid surgery can result in visible neck scarring.
• Endoscopic techniques are increasingly explored to improve surgical outcomes and aesthetics.

Purpose:

• To evaluate the safety and efficacy of airless endoscopic parathyroid surgery using a subclavian approach.
• To compare the outcomes of airless endoscopic surgery with traditional open parathyroid surgery.
• To assess postoperative pain, adverse events, and cosmetic results.

Summary:

• A retrospective study compared 13 patients undergoing traditional open parathyroid surgery with 13 patients undergoing airless endoscopic surgery via the subclavian approach for primary hyperparathyroidism.
• Both methods demonstrated comparable efficacy and safety, with no significant differences in hypocalcemia, hypoparathyroidism, blood loss, operative time, or recurrent laryngeal nerve palsy.
• The endoscopic group reported significantly higher scar evaluation and aesthetic satisfaction scores at 6 months post-surgery.

Impact:

• Airless endoscopic parathyroid surgery via the subclavian approach is a safe and effective alternative to traditional surgery.
• This technique offers excellent cosmetic benefits by avoiding anterior neck scarring.
• It represents a viable new option for patients seeking parathyroid surgery with improved aesthetic outcomes.