{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T21:11:21Z","timestamp":1766697081971},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2003,6,1]],"date-time":"2003-06-01T00:00:00Z","timestamp":1054425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,6,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Minimally invasive video-assisted parathyroidectomy (MIVAP) is a novel minimally invasive approach to primary hyperparathyroidism (PHPT). It is a gasless operation characterized by a single central incision and external retraction. This paper describes the drawbacks and limitations of this procedure based on a 5-year experience and 260 operations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Of 364 patients with PHTP, 260 were selected for MIVAP. In most patients a unilateral minimally invasive exploration was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>MIVAP was carried out successfully in 239 patients with a mean operating time of 40 (range 20\u2013180) min. Conversion to cervicotomy was required in 21 patients (8\u00b71 per cent). Complications included recurrent nerve palsy in two patients (0\u00b78 per cent), haemorrhage that required reoperation 6 h after parathyroidectomy in one patient (0\u00b74 per cent) and transient hypoparathyroidism in six patients (2\u00b75 per cent). In five patients (2\u00b71 per cent) persistent PHPT developed shortly after surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>After 5 years of experience, MIVAP appears to be feasible, safe and applicable to the majority of patients with PHPT.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.4183","type":"journal-article","created":{"date-parts":[[2003,6,10]],"date-time":"2003-06-10T10:09:56Z","timestamp":1055239796000},"page":"743-747","source":"Crossref","is-referenced-by-count":44,"title":["Limits and drawbacks of video-assisted parathyroidectomy"],"prefix":"10.1093","volume":"90","author":[{"given":"P","family":"Berti","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Materazzi","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Picone","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Miccoli","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2003,6,9]]},"reference":[{"key":"2021070911345331100_bib1","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1002\/bjs.1800830656","article-title":"Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism","volume":"83","author":"Gagner","year":"1996","journal-title":"Br J Surg"},{"key":"2021070911345331100_bib2","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1007\/s004230050207","article-title":"Minimally invasive 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