{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T16:20:13Z","timestamp":1771690813378,"version":"3.50.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2005,6,1]],"date-time":"2005-06-01T00:00:00Z","timestamp":1117584000000},"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":[[2005,6,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This randomized clinical trial was performed in a single institution to compare the results of minimally invasive video-assisted parathyroidectomy (MIVAP) conducted under regional anaesthesia (RA) or general anaesthesia (GA).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Fifty-one patients undergoing MIVAP for primary hyperparathyroidism were assigned randomly to either RA (26 patients) or GA (25). RA involved a bilateral deep cervical block, and local infiltration of the incision site with a mixture of 0\u00b725 per cent lignocaine and 0\u00b715 per cent bupivacaine. GA was induced by intravenous administration of propofol, remifentanil and rocuronium bromide.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The two groups were matched for age, sex, adenoma size, and preoperative serum calcium and parathyroid hormone levels. The interval from skin incision to closure was similar in the two groups (27\u00b76 and 25\u00b78 min for RA and GA respectively), whereas the total operating time (from induction of anaesthesia to return to the ward) was significantly lower with RA (72\u00b71 versus 90\u00b72 min; P = 0\u00b7001). The postoperative requirement for pain medication, measured in terms of amount of ketorolac administered at the request of the patient, was significantly lower in the RA group (28\u00b75 versus 80 mg\/day; P &amp;lt; 0\u00b7001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>MIVAP performed under RA was associated with a shorter overall operating time and a reduced need for postoperative pain relief.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.5048","type":"journal-article","created":{"date-parts":[[2005,6,1]],"date-time":"2005-06-01T15:16:54Z","timestamp":1117639014000},"page":"814-818","source":"Crossref","is-referenced-by-count":41,"title":["Randomized clinical trial comparing regional and general anaesthesia in minimally invasive video-assisted parathyroidectomy"],"prefix":"10.1093","volume":"92","author":[{"given":"P","family":"Miccoli","sequence":"first","affiliation":[{"name":"Department of Surgery, Ospedale Santa Chiara, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Barellini","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Santa Chiara, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"Monchik","sequence":"additional","affiliation":[{"name":"Division of Endocrine Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Rago","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Santa Chiara, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P F","family":"Berti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale Santa Chiara, University of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2005,6,1]]},"reference":[{"key":"2021070906145461000_bib1","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1097\/00000658-200211000-00002","article-title":"Surgery for primary hyperparathyroidism: what is the best approach?","volume":"236","author":"Chen","year":"2002","journal-title":"Ann Surg"},{"key":"2021070906145461000_bib2","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1001\/archsurg.137.9.1055","article-title":"Worldwide trends in the surgical treatment of primary hyperparathyroidism in the era of minimally invasive parathyroidectomy","volume":"137","author":"Sackett","year":"2002","journal-title":"Arch 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