Video-assisted parathyroidectomy via the lateral approach vs conventional surgery in the treatment of sporadic primary hyperparathyroidism: results of a case-control study

Marco Raffaelli, Jf Henry, M Iacobone, F. Volot

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

56 Citazioni (Scopus)

Abstract

BACKGROUND: We previously demonstrated that minimally invasive video-assisted parathyroidectomy (VAP) can be performed via a lateral approach on the line of the sternocleidomastoid muscle. The aim of this study was to compare the results of this technique with those of conventional parathyroidectomy (CP) in a case-control study. METHODS: Over a 2-year period, 80 VAP were attempted. The selection criteria were as follows: sporadic primary hyperparathyroidism, no history of previous neck surgery, no thyroid disease, suggestion of a single adenoma on preoperative imaging. A rapid intraoperative parathyroid hormone (PTH) assay was performed. The procedure was completed successfully in 68 patients. A case-control study of 68 patients who underwent CP for a single adenoma was performed. The controls were matched for age and sex. RESULTS: All of the patients were normocalcemic at follow-up. No statistically significant differences between the VAP and the control groups were found for age, sex, pre- and postoperative calcemia and PTH, adenoma weight, operating time, complication rate, or postoperative stay. One VAP patient developed recurrent laryngeal nerve palsy. Patients who underwent VAP required less analgesics (p < 0.0001) and were more satisfied with the cosmetic results (p < 0.0001). CONCLUSIONS: This study suggests that VAP by the lateral approach has some advantages over CP in terms of postoperative pain and cosmetic results.
Lingua originaleEnglish
pagine (da-a)1116-1119
Numero di pagine4
RivistaSurgical Endoscopy
Volume15
Stato di pubblicazionePubblicato - 2001

Keywords

  • Case-Control Studies
  • Female
  • Humans
  • Hyperparathyroidism
  • Length of Stay
  • Male
  • Middle Aged
  • Parathyroidectomy
  • Postoperative Complications
  • Surgical Procedures, Minimally Invasive
  • Video-Assisted Surgery

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