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Updated: Jan 13, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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Video-assisted neck surgery (VANS) for primary hyperparathyroidism.
Ryota Iinuma1, Tatsuhiko Yamada1, Takuro Tsunoki1
1Department of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Summary
Video-assisted neck surgery (VANS) offers a safe and effective approach for primary hyperparathyroidism (PHPT) treatment, achieving excellent cosmetic results with no complications in a pilot study.
Area of Science:
- Endocrine Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Video-assisted neck surgery (VANS) is a minimally invasive technique known for superior cosmetic outcomes.
- Primary hyperparathyroidism (PHPT) often requires surgical intervention for effective management.
Purpose of the Study:
- To standardize and describe the VANS procedure for PHPT.
- To evaluate the safety and efficacy of VANS in PHPT patients.
Main Methods:
- Retrospective review of six PHPT patients undergoing VANS parathyroidectomy.
- Preoperative diagnosis and localization using CT, ultrasound, and scintigraphy.
- Evaluation of surgical techniques, outcomes, and complications.
Main Results:
- Successful VANS in all six patients with parathyroid adenomas.
- Median operative time of 116.5 minutes with minimal blood loss.
- Complete adenoma resection achieved in all cases without complications.
Conclusions:
- VANS is a safe, effective, and cosmetically advantageous option for selected PHPT patients.
- Standardized VANS techniques can be reliably implemented in experienced centers.
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