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THE TECHNIQUE OF ENDOSCOPIC EXPLORATION FOR PARATHYROID ADENOMA OF THE NECK
Author(s) -
Yeung Gustus H. C.,
Ng Jacob W. T.
Publication year - 1998
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1998.tb04727.x
Subject(s) - medicine , parathyroid adenoma , scars , adenoma , surgery , hypercalcaemia , treatment modality , general surgery , radiology , calcium
Background : The technical details of endoscopic exploration of parathyroid adenoma are described here, thereby drawing attention to the enormous potential of this new modality of minimal‐access surgery. Methods : Four patients with a parathyroid adenoma that was clearly demonstrated by pre‐operative localization imaging techniques were subject to endoscopic exploration using one 11 mm and two 5 mm ports: a technique heretofore undescribed. Results : An adenoma was successfully localized endoscopically in each case and was removed. The postoperative outcome proved most encouraging: no analgesics were required, the hypercalcaemia rapidly corrected and the patients were pleased with the smallness of scars. Conclusions : The described endoscopic approach is a viable and promising alternative to open surgery for parathyroid adenoma; further study would be fruitful.