caa a22 4500 475781864 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000192 doi (NATIONALLICENCE)springer-10.1007/s004640000192 Minimally invasive parathyroid surgery [Elektronische Daten] [P. Miccoli, J. M. Monchik] Background: Minimally invasive access for the treatment of primary hyperparathyroidism is becoming widespread, but several different approaches have been proposed in the literature. Methods: We describe the three main types of mini-invasive parathyroidectomy, with particular attention to the gasless video-assisted procedure, which is now routinely performed at our institution. Results: Eighty-nine patients with a preoperatively localized single adenoma were successfully treated. Operative time was 58 mins, and there were only five conversions. Discussion: After comparing the different approaches described in literature, we conclude that mini-invasive parathyroidectomy is feasible and can provide additional benefits not available with traditional surgery. At present, however, this operation can be recommended only for patients with sporadic disease, localized lesions, and absence of goiter and prior neck surgery. Springer-Verlag New York Inc., 2000 Key words: Minimally invasive surgery — Endoscopy — Parathyroid surgery — Primary hyperparathyroidism nationallicence Miccoli P. Unit of Endocrine Surgery, Department of Surgery, University of Pisa, Via Roma 67, Pisa, Italy, IT aut Monchik J. M. Endocrine Surgical Department, Rhode Island Hospital, Brown University School of Medicine, Providence, RI 02906, USA, US aut https://doi.org/10.1007/s004640000192 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000192 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miccoli P. Unit of Endocrine Surgery, Department of Surgery, University of Pisa, Via Roma 67, Pisa, Italy, IT aut NATIONALLICENCE 700 1- Monchik J. M. Endocrine Surgical Department, Rhode Island Hospital, Brown University School of Medicine, Providence, RI 02906, USA, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer