Endoscopic Parathyroidectomy View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016

AUTHORS

Nunzia Cinzia Paladino , Carole Guérin , Eveline Slotema , Ilaria Fabiola Franco , Jean François Henry , Frédéric Sebag

ABSTRACT

For many years, the surgical treatment of choice of primary hyperparathyroidism (PHPT) has been bilateral cervical neck exploration. With the development of new imaging techniques, focused parathyroid surgery has progressively emerged. Concordant positive imaging is the necessary prelude for performing this technique. Appropriate patient selection for single gland disease is the key of successful targeted parathyroidectomy. The endoscopic approach is indicated in all cases in which the parathyroid adenoma is located posteriorly. The endoscopic lateral approach is safe and effective; it has some advantages and it is reserved for patients with sporadic PHPT, with a single adenoma well localized preoperatively and posteriorly located nearby of inferior laryngeal nerve. It permits a complete exploration of all anatomical elements of the retro-thyroidal area from the superior pedicle to the posterior-superior mediastinum. Morbidity is very low. The endoscopic parathyroidectomy has excellent results regarding hospital stay, postoperative time, and cosmetic results. More... »

PAGES

167-180

Book

TITLE

Minimally Invasive Therapies for Endocrine Neck Diseases

ISBN

978-3-319-20064-4
978-3-319-20065-1

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-20065-1_14

DOI

http://dx.doi.org/10.1007/978-3-319-20065-1_14

DIMENSIONS

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