Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-24T11:13:49.205Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of minimally invasive parathyroidectomy techniques in sporadic primary hyperparathyroidism: systematic review

Published online by Cambridge University Press:  28 October 2011

D Gracie  and
S S M Hussain
D Gracie*
Affiliation:
University of Dundee Medical School, Ninewells Hospital, Dundee, Scotland, UK
S S M Hussain*
Affiliation:
University of Dundee Medical School, Ninewells Hospital, Dundee, Scotland, UK Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Mr S S Musheer Hussain, Consultant Otolaryngologist, Honorary Reader, Ward 26, Ninewells Hospital and Medical School, Dundee DD1 9SY, Scotland, UK Fax: +44 (0)1382 632 816 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The past two decades have seen rapidly changing attitudes towards the surgical management of primary hyperparathyroidism. Advances in localisation techniques and confidence with endoscopy have led to the development of numerous minimally invasive parathyroidectomy approaches, including open minimal incision and endoscopic and video-assisted parathyroidectomy.

This paper systematically reviews the evidence for these methods to determine: (1) whether these new, minimally invasive techniques are comparable to conventional bilateral neck exploration methods in terms of success and complication rate; and (2) if they are comparable, which technique is likely to be best for cosmesis, patient safety and patient satisfaction.

A search of the Medline, Cochrane Reviews and Scopus databases was conducted, using a defined list of search parameters. Abstracts were compared against inclusion and exclusion criteria, before the full text was sought and analysed for data. The evidence from each study was then assessed, based on study quality, and a recommendation made based on the level of evidence available.

There is level 1b evidence that minimally invasive surgery is comparable to bilateral neck exploration in terms of efficacy and complication rates. This paper recommends that the treatment of choice for solitary adenoma (in most healthcare centres) should be open minimal incision parathyroidectomy, due to advantages in operative duration, learning curve and cost-effectiveness.

Keywords

Primary HyperparathyroidismParathyroidectomy, Video-AssistedSurgical Procedures, Minimally InvasiveSystematic Review
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 3 , March 2012 , pp. 221 - 227
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Fraser, WD. Hyperparathyroidism. Lancet 2009;11:374:145–58CrossRefGoogle Scholar
2Yu, N, Donnan, PT, Murphy, MJ, Leese, GP. Epidemiology of primary hyperparathyroidism in Tayside, Scotland, UK. Clin Endocrinol 2009;71:485–93CrossRefGoogle ScholarPubMed
3Bilezikian, JP, Potts, JT. Asymptomatic primary hyperparathyroidism: new issues and new questions – bridging the past with the future. J Bone Miner Res 2002;17(suppl 2):N57–67Google ScholarPubMed
4Mazzaglia, PJ, Berber, E, Kovach, A, Milas, M, Esselstyn, C, Siperstein, AE. The changing presentation of hyperparathyroidism over 3 decades. Arch Surg 2008;143:260–6CrossRefGoogle ScholarPubMed
5Udelsman, R, Pasieka, JL, Sturgeon, C, Young, JEM, Clark, OH. Surgery for asymptomatic primary hyperparathyroidism: proceedings of the Third International Workshop. J Clin Endocrinol Metab 2009;94:366–72CrossRefGoogle ScholarPubMed
6Thomas, SK, Wishart, GC. Trends in surgical techniques. Nucl Med Commun 2003;24:115–19CrossRefGoogle ScholarPubMed
7Marazuela, M, Domínguez-Gadea, L, Manuel Bravo-Linfante, J, Larrañaga, E. Surgical treatment and localization techniques in primary hyperparathyroidism. Endocrinol Nutr 2009;56:20–8CrossRefGoogle ScholarPubMed
8Lowney, JK, Weber, B, Johnson, S, Doherty, GM. Minimal incision parathyroidectomy: cure, cosmesis, and cost. World J Surg 2000;24:1442–5CrossRefGoogle ScholarPubMed
9Naitoh, T, Gagner, M, Garcia-Ruiz, A, Heniford, BT. Endoscopic endocrine surgery in the neck. An initial report of endoscopic subtotal parathyroidectomy. Surg Endosc 1998;12:202–5CrossRefGoogle ScholarPubMed
10Henry, 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 2001;15:1116–19CrossRefGoogle ScholarPubMed
11Miccoli, 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;126:1117–21CrossRefGoogle ScholarPubMed
12Prager, G, Czerny, C, Kurtaran, A, Passler, C, Scheuba, C, Bieglmayer, C et al. Minimally invasive open parathyroidectomy in an endemic goiter area: a prospective study. Arch Surg 2001;136:810–16CrossRefGoogle Scholar
13Pitale, A, Andrabi, SIH, Dolan, SJ, Russell, CFJ. Minimally invasive parathyroid exploration for solitary adenoma. Initial experience with an open, ‘short incision’ approach. Ulster Med J 2008;77:115–18Google ScholarPubMed
14Miccoli, P, Berti, P, Puccini, M, Bendinelli, C, Conte, M, Picone, A et al. Video-assisted parathyroidectomy: a series of 85 cases [in French]. Chirurgie 1999;124:511–15CrossRefGoogle ScholarPubMed
15Delbridge, LW, Dolan, SJ, Hop, TT, Robinson, BG, Wilkinson, MR, Reeve, TS. Minimally invasive parathyroidectomy: 50 consecutive cases. Med J Aust 2000;172:418–22CrossRefGoogle ScholarPubMed
16Miccoli, P, Berti, P, Conte, M, Raffaelli, M, Materazzi, G. Minimally invasive video-assisted parathyroidectomy: lesson learned from 137 cases. J Am Coll Surg 2000;191:613–18CrossRefGoogle ScholarPubMed
17Berti, P, Raffaelli, M, Materazzi, G, Galleri, D, Miccoli, P. Video-assisted parathyroidectomy: learning curve. Ann Chir 2001;126:772–6CrossRefGoogle ScholarPubMed
18Cougard, P, Goudet, P, Bilosi, M, Peschaud, F. Video-endoscopic approach for parathyroidectomy: results of a prospective study including 100 patients. Ann Chir 2001;126:314–19CrossRefGoogle Scholar
19Lorenz, K, Miccoli, P, Monchik, JM, Duren, M, Dralle, H. Minimally invasive video-assisted parathyroidectomy: multiinstitutional study. World J Surg 2001;25:704–7CrossRefGoogle ScholarPubMed
20Mourad, M, Ngongang, C, Saab, N, Coche, E, Jamar, F, Michel, J-M et al. Video-assisted neck exploration for primary and secondary hyperparathyroidism: initial experience. Surg Endosc 2001;15:1112–15CrossRefGoogle ScholarPubMed
21Hallfeldt, KK, Trupka, A, Gallwas, J, Schmidbauer, S. Minimally invasive video-assisted parathyroidectomy and intraoperative parathyroid hormone monitoring. The first 36 cases and some pitfalls. Surg Endosc 2002;16:1759–63CrossRefGoogle ScholarPubMed
22Monchik, JM, Barellini, L, Langer, P, Kahya, A. Minimally invasive parathyroid surgery in 103 patients with local/regional anesthesia, without exclusion criteria. Surgery 2002;131:502–8CrossRefGoogle ScholarPubMed
23Shimizu, K, Kitagawa, W, Akasu, H, Hatori, N, Hirai, K, Tanaka, S. Video-assisted endoscopic thyroid and parathyroid surgery using a gasless method of anterior neck skin lifting: a review of 130 cases. Surgery Today 2002;32:862–8CrossRefGoogle ScholarPubMed
24Lo, CY, Chan, WF, Luk, JM. Minimally invasive endoscopic-assisted parathyroidectomy for primary hyperparathyroidism. Surg Endosc 2003;17:1932–6CrossRefGoogle ScholarPubMed
25Miccoli, 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;28:1216–18CrossRefGoogle ScholarPubMed
26Rubello, D, Mariani, G, Pelizzo, MR. Minimally invasive radio-guided parathyroidectomy on a group of 452 primary hyperparathyroid patients: refinement of preoperative imaging and intraoperative procedure [in italian]. Nuklear Medizin 2007;46:85–92Google ScholarPubMed
27Miccoli, P, Materazzi, G, Bonari, G, Donatini, G, Berti, P. Minimally invasive video-assisted parathyroidectomy. Operative Techniques in Otolaryngology – Head and Neck 2008;19:22–5CrossRefGoogle Scholar
28Dobrinja, C, Trevisan, G, Liguori, G. Minimally invasive video-assisted parathyroidectomy. Initial experience in a general surgery department. J Endocrinol Invest 2009;32:130–3CrossRefGoogle Scholar
29Kessler, PA, Bumiller, L, Kroczek, A, Kessler, HP, Birkholz, T. Minimally invasive neck surgery. Surgical feasibility and physiological effects of carbon dioxide insufflation in a unilateral subplatysmal approach. Int J Oral Maxillofac Surg 2009;38:766–72CrossRefGoogle Scholar
30Lombardi, 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;33:2266–81CrossRefGoogle ScholarPubMed
31Henry, JF, Defechereux, T, Gramatica, L, De Boissezon, C. Endoscopic parathyroidectomy via a lateral neck incision. Ann Chir 1999;53:302–6Google Scholar
32Ikeda, Y, Takami, H. Endoscopic parathyroidectomy. Biomed Pharmacother 2000;54(suppl 1):52–56CrossRefGoogle ScholarPubMed
33Kuriansky, J, Fernandez-Cruz, L. Preliminary experiences with endoscopic parathyroidectomy [in Hebrew]. Harefuah 2000;138:94–6Google ScholarPubMed
34Henry, JF, Sebag, F, Tamagnini, P, Forman, C, Silaghi, H. Endoscopic parathyroid surgery: results of 365 consecutive procedures. World J Surg 2004;28:1219–23CrossRefGoogle ScholarPubMed
35Hessman, 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;97:177–84CrossRefGoogle ScholarPubMed
36Bergenfelz, A, Kamigiesser, 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;92:190–7CrossRefGoogle ScholarPubMed
37Barczynski, M, Cichon, S, Konturek, A, Cichon, 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;30:721–31CrossRefGoogle ScholarPubMed
38Barczynski, M, Cichon, S, Konturek, A, Cichon, W, Wierzchowski, W. Comparison of two techniques of minimally invasive parathyroidectomy: video-assisted (MIVAP) and open (OMIP). Pol J Surg 2007;79:1264–79Google Scholar
39Miccoli, 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;22:398–400CrossRefGoogle ScholarPubMed
40Slepavicius, A, Beisa, V, Janusonis, V, Strupas, K. Focused versus conventional parathyroidectomy for primary hyperparathyroidism: a prospective, randomized, blinded trial. Langenbecks Arch Surg 2008;393:659–66CrossRefGoogle ScholarPubMed
41Walgenbach, S, Junginger, T. Results of bilateral surgical technique in primary hyperparathyroidism [in German]. Zentralbl Chir 2001;126:254–60CrossRefGoogle ScholarPubMed