Total endoscopic parathyroidectomy
Ikeda, Y.; Takami, H.; Tajima, G.; Sasaki, Y.; Takayama, J.; Kurihara, H.; Niimi, M.
Biomedicine and PharmacoTherapy 56(Suppl): 22s-25s
2002
ISSN/ISBN: 0753-3322 PMID: 12487245 Document Number: 543316
During the last five years, minimally invasive procedures have been adopted for the surgical treatment of hyperparathyroidism, because preoperative localization studies such as high-resolution ultrasonography and sestamibi scintigraphy, guidance by intraoperative scans, and the use of quick, intraoperative parathyroid hormone assay have improved. Endoscopic parathyroidectomy was performed by Gagner in 1996, and surgical procedures using endoscopy have been devised. The endoscopic procedures range from the "pure" endoscopic approach characterized by constant gas insufflation to video-assisted gasless techniques. We adopted the "pure" endoscopic approach, because a small incision can be made far from the neck and the cosmetic result is excellent. We report our technique with no scars in the neck region for endoscopic unilateral neck exploration with primary hyperparathyroidism and for endoscopic bilateral neck exploration with renal hyperparathyroidism.