BACKGROUND: This paper describes the technique of minimally invasive parathyroidectomy. The technique is based on a thorough understanding of the anatomy of the fascial planes in neck, the surgical pathology and embryology of parathyroid glands and precise anatomical interpretation of preoperative localization studies. METHODS: Tissue trauma is minimized by using a 2.0 cm incision placed directly over the abnormal parathyroid gland and by removing the adenoma, without compromising the basic endocrine surgical principles of identification and preservation of recurrent laryngeal nerve, avoidance of any capsular breech, and ligation of the vascular pedicle. RESULTS/ CONCLUSIONS: With proper patient selection, this technique results in a failure rate of less than 4% and ensures that the incidence of complications, such as recurrent laryngeal nerve injury, remains comparable with that of standard open parathyroidectomy.
BACKGROUND: This paper describes the technique of minimally invasive parathyroidectomy. The technique is based on a thorough understanding of the anatomy of the fascial planes in neck, the surgical pathology and embryology of parathyroid glands and precise anatomical interpretation of preoperative localization studies. METHODS: Tissue trauma is minimized by using a 2.0 cm incision placed directly over the abnormal parathyroid gland and by removing the adenoma, without compromising the basic endocrine surgical principles of identification and preservation of recurrent laryngeal nerve, avoidance of any capsular breech, and ligation of the vascular pedicle. RESULTS/ CONCLUSIONS: With proper patient selection, this technique results in a failure rate of less than 4% and ensures that the incidence of complications, such as recurrent laryngeal nerve injury, remains comparable with that of standard open parathyroidectomy.
Authors: Patsy S H Soon; Leigh W Delbridge; Mark S Sywak; Beverley M Barraclough; Pam Edhouse; Stan B Sidhu Journal: World J Surg Date: 2008-05 Impact factor: 3.352
Authors: Paolo Del Rio; Diego Vicente; Umberto Maestroni; Anna Totaro; Gian Maria Casoni Pattacini; Itzhak Avital; Alexander Stojadinovic; Mario Sianesi Journal: J Cancer Date: 2013-07-03 Impact factor: 4.207
Authors: Supriya Sen; Anish Jacob Cherian; Pooja Ramakant; K Reka; M J Paul; Deepak Thomas Abraham Journal: Indian J Endocrinol Metab Date: 2019 Jan-Feb