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Minimally Invasive Video-Assisted Parathyroidectomy (MIVAP)

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Minimally Invasive Therapies for Endocrine Neck Diseases

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Abstract

During the last three decades, the improved preoperative localization studies and the introduction in the clinical practice of intra-operative PTH (IO-PTH) assay led to the development of the targeted approaches to parathyroidectomy. The application of the endoscopic techniques to neck surgery during the late 1990s further contributed to the development of minimally invasive parathyroidectomy. Minimally invasive parathyroidectomy encompasses several techniques, including approaches that use the endoscope, such as video-assisted parathyroidectomy (MIVAP).

The video-assisted procedures have the advantages not only of the targeted approach but also of endoscopic magnification, with the theoretical lowered risk of complications because of better view of the neck structures (recurrent laryngeal nerve and parathyroid glands). MIVAP gained a large worldwide acceptance in different surgical settings, due to its reproducibility and its similarity with the conventional technique for the parathyroidectomy. In this chapter we describe the surgical technique, the indications, the results, and the advantages and disadvantages of MIVAP.

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Authors and Affiliations

  1. Unità Operativa di Chirurgia Endocrina e Metabolica, Università Cattolica Del Sacro Cuore, Roma, Largo Agostino Gemelli, 8, Rome, RM, 00168, Italy

    Carmela De Crea, Gerardo D’Amato, Emanuela Traini, Marco Raffaelli & Celestino Pio Lombardi

Authors
  1. Carmela De Crea
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  2. Gerardo D’Amato
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  3. Emanuela Traini
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  4. Marco Raffaelli
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  5. Celestino Pio Lombardi
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Corresponding author

Correspondence to Carmela De Crea .

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Editors and Affiliations

  1. Chief of Endocrine Surgery Unit, Policlinico Gemelli – CIC, Università Cattolica del Sacro Cuore, Rome, Milano, Italy

    Celestino Pio Lombardi

  2. Chief of Istituto Semeiotica Chirurgica, Chief of Endocrine and Metabolic Surgery Unit, Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

    Rocco Bellantone

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De Crea, C., D’Amato, G., Traini, E., Raffaelli, M., Lombardi, C.P. (2016). Minimally Invasive Video-Assisted Parathyroidectomy (MIVAP). In: Lombardi, C., Bellantone, R. (eds) Minimally Invasive Therapies for Endocrine Neck Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-20065-1_13

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  • DOI: https://doi.org/10.1007/978-3-319-20065-1_13

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20064-4

  • Online ISBN: 978-3-319-20065-1

  • eBook Packages: MedicineMedicine (R0)

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