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Minimally Invasive Video-Assisted Parathyroidectomy

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Minimally Invasive and Robotic Thyroid and Parathyroid Surgery

Abstract

During the last two decades, several techniques for minimally invasive parathyroidectomy have been developed. Minimally invasive video-assisted parathyroidectomy (MIVAP) has emerged as a valid alternative to bilateral neck exploration for the surgical treatment of patients with sporadic primary hyperparathyroidism. This technique provides significant advantages in terms of postoperative pain, postoperative outcomes, and cosmetic results. This chapter describes the indications, surgical technique, and outcomes of MIVAP.

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Recommended Reading

  • Agarwal G, Barraclough BH, Reeve TS, Delbridge LW. Minimally invasive parathyroidectomy using the “focused” lateral approach. II. Surgical technique. Aust N Z J Surg. 2002;72:147–51.

    Article  Google Scholar 

  • Alesina PF, Hinrichs J, Kribben A, Walz MK. Minimally invasive video-assisted parathyroidectomy (MIVAP) for secondary hyperparathyroidism: report of initial experience. Am J Surg. 2010;199:851–5.

    Article  PubMed  Google Scholar 

  • Alesina PF, Hinrichs J, Heuer M, Hofmeister S, Meier B, Walz MK. Feasibility of video-assisted bilateral neck exploration for patients with primary hyperparathyroidism and failed or discordant localization studies. Langenbecks Arch Surg. 2013;398:107–11.

    Article  PubMed  Google Scholar 

  • Barbaros U, Erbil Y, Yildirim A, Saricam G, Yazici H, Ozarmağan S. Minimally invasive video-assisted subtotal parathyroidectomy with thymectomy for secondary hyperparathyroidism. Langenbecks Arch Surg. 2009;394:451–5.

    Article  PubMed  Google Scholar 

  • Barczyński M, Cichoń S, Konturek A, Cichoń W. Minimally invasive video-assisted parathyroidectomy versus open minimally invasive parathyroidectomy for a solitary parathyroid adenoma: a prospective, randomized, blinded trial. World J Surg. 2006;30:721–31.

    Article  PubMed  Google Scholar 

  • Bergenfelz A, Lindblom P, Tibblin S, Westerdahl J. Unilateral versus bilateral neck exploration for primary hyperparathyroidism: a prospective randomized trial. Ann Surg. 2002;236:543–51.

    Article  PubMed  Google Scholar 

  • Bergenfelz A, Kanngiesser V, Zielke A, Nies C, Rothmund M. Conventional bilateral cervical exploration versus open minimally invasive parathyroidectomy under local anaesthesia for primary hyperparathyroidism. Br J Surg. 2005;92:190–7.

    Article  CAS  PubMed  Google Scholar 

  • Bergenfelz A, Jansson S, Mårtensson H, Reihnér E, Wallin G, Kristoffersson A, Lausen I. Scandinavian quality register for thyroid and parathyroid surgery: audit of surgery for primary hyperparathyroidism. Langenbecks Arch Surg. 2007;392:445–51.

    Article  PubMed  Google Scholar 

  • Bergenfelz AOJ, Hellman P, Harrison B, Sitges-Serra A, Dralle H, European Society of Endocrine Surgeons. Positional statement of the European Society of Endocrine Surgeons (ESES) on modern techniques in pHPT surgery. Langenbecks Arch Surg. 2009;394:761–4.

    Article  PubMed  Google Scholar 

  • Berti P, Materazzi G, Picone A, Miccoli P. Limits and drawbacks of video-assisted parathyroidectomy. Br J Surg. 2003;90:743–7.

    Article  CAS  PubMed  Google Scholar 

  • De Pasquale L, Bianchi P, Barabino M, Bestetti A, Bastagli A. Radio-guided video-assisted parathyroidectomy. A preliminary report. Surg Endosc. 2001;15:1456–8.

    PubMed  Google Scholar 

  • Dralle H, Lorenz K, Nguyen-Thanh P. Minimally invasive video-assisted parathyroidectomy – selective approach to localize single gland adenoma. Langenbecks Arch Surg. 1999;384:556–62.

    Article  CAS  PubMed  Google Scholar 

  • Duh QY. Surgical approach to primary hyperparathyroidism (bilateral approach). In: Clark OH, Duh Q, editors. Textbook of endocrine surgery. Philadelphia: WB Saunders; 1997.

    Google Scholar 

  • Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg. 1996;83:875.

    Article  CAS  PubMed  Google Scholar 

  • Goldstein RE, Blevins L, Delbeke D, Martin WH. Effect of minimally invasive radioguided parathyroidectomy on efficacy, length of stay, and costs in the management of primary hyperparathyroidism. Ann Surg. 2000;231:732–42.

    Article  CAS  PubMed  Google Scholar 

  • Hallfeldt KK, Trupka A, Gallwas J, Horn K. Minimally invasive video-assisted parathyroidectomy. Surg Endosc. 2001;15:409–12.

    Article  CAS  PubMed  Google Scholar 

  • Henry JF, Defechereux T, Gramatica L, de Boissezon C. Minimally invasive videoscopic parathyroidectomy by lateral approach. Langenbecks Arch Surg. 1999;384:298–301.

    Article  CAS  PubMed  Google Scholar 

  • Henry JF, Raffaelli M, Iacobone M, Volot F. Video-assisted parathyroidectomy via the lateral approach vs conventional surgery in the treatment of sporadic primary hyperparathyroidism: results of a case–control study. Surg Endosc. 2001a;15:1116–9.

    Article  CAS  PubMed  Google Scholar 

  • Henry JF, Iacobone M, Mirallie E, Deveze A, Pili S. Indications and results of video-assisted parathyroidectomy by a lateral approach in patients with primary hyperparathyroidism. Surgery. 2001b;130:999–1004.

    Article  CAS  PubMed  Google Scholar 

  • Hessman O, Westerdahl J, Al-Suliman N, Christiansen P, Hellman P, Bergenfelz A. Randomized clinical trial comparing open with video-assisted minimally invasive parathyroid surgery for primary hyperparathyroidism. Br J Surg. 2010;97:177–84.

    Article  CAS  PubMed  Google Scholar 

  • Irvin GL, Carneiro DM. Rapid parathyroid hormone assay guided exploration. Oper Tech Gen Surg. 1999;1:18–27.

    Article  Google Scholar 

  • Kitagawa W, Shimizu K, Kumita S, Akasu H, Kumazaki T, Tanaka S. Radioguided parathyroidectomy for primary hyperparathyroidism combined with video-assisted surgery using the solid-state multi-crystal gamma camera. J Surg Oncol. 2002;80:173–5.

    Article  PubMed  Google Scholar 

  • Kitano H, Fujimura M, Hirano M, Kataoka H, Kinoshita T, Seno S, Kitajima K. Endoscopic surgery for a parathyroid functioning adenoma resection with the neck region-lifting method. Otolaryngol Head Neck Surg. 2000;123:465–6.

    Article  CAS  PubMed  Google Scholar 

  • Lombardi CP, Raffaelli M, Traini E, De Crea C, Corsello SM, Sollazzi L, Pontecorvi A, Bellantone R. Advantages of a video-assisted approach to parathyroidectomy. ORL J Otorhinolaryngol Relat Spec. 2008;70:313–8.

    Article  PubMed  Google Scholar 

  • Lombardi CP, Raffaelli M, Traini E, De Crea C, Corsello SM, Bellantone R. Video-assisted minimally invasive parathyroidectomy: benefits and long-term results. World J Surg. 2009;33:2266–81.

    Article  PubMed  Google Scholar 

  • Lorenz K, Miccoli P, Monchik JM, Düren M, Dralle H. Minimally invasive video-assisted parathyroidectomy: multiinstitutional study. World J Surg. 2001;25:704–7.

    Article  CAS  PubMed  Google Scholar 

  • Maweja S, Sebag F, Hubbard J, Giorgi R, Henry JF. Immediate and medium-term results of intraoperative parathyroid hormone monitoring during video-assisted parathyroidectomy. Arch Surg. 2004;139:1301–3.

    Article  PubMed  Google Scholar 

  • Melck AL, Armstrong MJ, Yip L, Carty SE. Case-controlled comparison of video-assisted and conventional minimally invasive parathyroidectomy. Am Surg. 2012;78:125–32.

    PubMed  Google Scholar 

  • Miccoli P, Pinchera A, Cecchini G, Conte M, Bendinelli C, Vignali E, Picone A, Marcocci C. Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest. 1997;20:429–30.

    CAS  PubMed  Google Scholar 

  • Miccoli P, Bendinelli C, Berti P, Vignali E, Pinchera A, Marcocci C. Video-assisted versus conventional parathyroidectomy in primary hyperparathyroidism: a prospective randomized study. Surgery. 1999;126:1117–22.

    Article  CAS  PubMed  Google Scholar 

  • Miccoli P, Berti P, Conte M, Raffaelli M, Materazzi G. Minimally invasive video-assisted parathyroidectomy: lesson learned from 137 cases. J Am Coll Surg. 2000;191:613–8.

    Article  CAS  PubMed  Google Scholar 

  • Miccoli P, Berti P, Materazzi G, Massi M, Picone A, Minuto MN. Results of video-assisted parathyroidectomy: single institution’s six-year experience. World J Surg. 2004;28:1216–8.

    Article  PubMed  Google Scholar 

  • Miccoli P, Minuto M, Cetani F, Ambrosini CE, Berti P. Familial parathyroid hyperplasia: is there a place for minimally invasive surgery? Description of the first treated case. J Endocrinol Invest. 2005a;28:942–3.

    CAS  PubMed  Google Scholar 

  • Miccoli P, Barellini L, Monchik JM, Rago R, Berti P. Randomized clinical trial comparing regional and general anaesthesia in minimally invasive video-assisted parathyroidectomy. Br J Surg. 2005b;92:814–8.

    Article  CAS  PubMed  Google Scholar 

  • Miccoli P, Berti P, Materazzi G, Ambrosini CE, Fregoli L, Donatini G. Endoscopic bilateral neck exploration versus quick intraoperative parathormone assay (qPTHa) during endoscopic parathyroidectomy: a prospective randomized trial. Surg Endosc. 2008;22:398–400.

    Article  CAS  PubMed  Google Scholar 

  • Mourad M, Ngongang C, Saab N, Coche E, Jamar F, Michel JM, Maiter D, Malaise J, Squifflet JP. Video-assisted neck exploration for primary and secondary hyperparathyroidism. Surg Endosc. 2001;15:1112–5.

    Article  CAS  PubMed  Google Scholar 

  • Naitoh T, Gagner M, Garcia-Ruiz A, Heniford BT. Endoscopic endocrine surgery in the neck. An initial report of endoscopic subtotal parathyroidectomy. Surg Endosc. 1998;12:202–6.

    Article  CAS  PubMed  Google Scholar 

  • Norman J, Chheda H. Minimally invasive parathyroidectomy facilitated by intraoperative nuclear mapping. Surgery. 1997;122:998–1003.

    Article  CAS  PubMed  Google Scholar 

  • Ohshima A, Simizu S, Okido M, Shimada K, Kuroki S, Tanaka M. Endoscopic neck surgery: current status for thyroid and parathyroid diseases. Biomed Pharmacother. 2002;56:48s–52s.

    Article  PubMed  Google Scholar 

  • Okido M, Shimizu S, Kuroki S, Yokohata K, Uchiyama A, Tanaka M. Video-assisted parathyroidectomy for primary hyperparathyroidism: a new approach involving a skin-lifting method. Surg Endosc. 2001;15:1120–3.

    Article  CAS  PubMed  Google Scholar 

  • Palazzo FF, Delbridge LW. Minimal-access/minimally invasive parathyroidectomy for primary hyperparathyroidism. Surg Clin North Am. 2004;84:717–34.

    Article  PubMed  Google Scholar 

  • Russel CF, Dolan SJ, Laird JD. Randomized clinical trial comparing scan-directed unilateral versus bilateral exploration for parathyroidectomy due to solitary adenoma. Br J Surg. 2006;93:418–21.

    Article  Google Scholar 

  • Russell C. Unilateral neck exploration for primary hyperparathyroidism. Surg Clin North Am. 2004;84:705–16.

    Article  PubMed  Google Scholar 

  • Santini J. Chirurgie des glandes parathyroïdes. In: Encyclopedie Médico-Chirurgicale. Traité de Techniques Chirurgicales – Tête et cou. Paris: Elsevier; 1997. p. 46–465.

    Google Scholar 

  • Tibblin S, Bondeson AG, Ljungberg O. Unilateral parathyroidectomy in hyperparathyroidism due to a single adenoma. Ann Surg. 1982;195:245–52.

    Article  CAS  PubMed  Google Scholar 

  • Westerdahl J, Bergenfelz A. Unilateral versus bilateral neck exploration for primary hyperparathyroidism: 5-year follow up of a randomized controlled trial. Ann Surg. 2007;249:976–80.

    Article  Google Scholar 

  • Yeung GH, Ng JW. The technique of endoscopic exploration for parathyroid adenoma of the neck. Aust N Z J Surg. 1998;68:147–50.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Marco Raffaelli MD .

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Raffaelli, M., Lombardi, C.P. (2014). Minimally Invasive Video-Assisted Parathyroidectomy. In: Terris, D., Singer, M. (eds) Minimally Invasive and Robotic Thyroid and Parathyroid Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9011-1_17

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  • DOI: https://doi.org/10.1007/978-1-4614-9011-1_17

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