{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:22:04Z","timestamp":1770823324196,"version":"3.50.1"},"reference-count":0,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,2,20]],"date-time":"2014-02-20T00:00:00Z","timestamp":1392854400000},"content-version":"vor","delay-in-days":4647,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2001,6]]},"abstract":"Abstract.<\/jats:title>Unilateral and minimally invasive parathyroidectomies with endoscopic and video\u2010assisted technique have been introduced. Most of these procedures utilize preoperative localization and intraoperative monitoring of parathyroid hormone. There are only a few reports on these procedures. The objective of this study was to evaluate video\u2010assisted parathyroidectomy (MIVAP) for surgery in patients with primary hyperparathyroidism (pHPT). From February 1997 to June 1999 a series of 123 consecutive patients with pHPT at four surgical centers were evaluated. The patients' ages ranged from 18 to 77 years (median 50 years). Preoperatively, sestamibi scintigraphy and ultrasonography for localization were performed for all patients. Selection criteria for a MIVAP procedure excluded patients with negative localization, suspicion of multiglandular disease (MGD) or thyroid malignancy, a large thyroid mass, and prior surgery or irradiation to the neck. MIVAP was performed with a 1.5\u00a0cm suprasternal incision; the operation was then done through this incision with a 30 degree 5\u00a0mm endoscope and microsurgical instruments with brief CO2<\/jats:sub> insufflation for adenoma identification. We then proceeded with an open technique through the small incision under video\u2010assistance. Intraoperative monitoring of intact parathyroid hormone (iPTH) assays was used in all patients. Among the 123 patients in whom MIVAP was attempted, the procedure was accomplished in 109 (89%). Conversion to conventional cervicotomy was required in 14 (11%) patients because of failed localization, failure of the iPTH level to fall appropriately, or technical problems. There was no persistent or recurrent HPT during the 3 to 12\u2010month follow\u2010up. Oral calcium replacement for symptomatic hypocalcemia postoperatively was given in 7 (6%) cases. A unilateral transient laryngeal nerve palsy, resolving within 6\u00a0months postoperatively, occurred in two (2%) patients. The median hospital stay was 1.5\u00a0days (range 0.5\u20135.0\u00a0days). This study showed the feasibility of MIVAP as an alternative surgical treatment for pHPT in a selected group of patients. Further studies are necessary to evaluate the efficacy and rationale of MIVAP compared to other techniques for parathyroidectomy in pHPT patients.<\/jats:p>","DOI":"10.1007\/s00268-001-0018-3","type":"journal-article","created":{"date-parts":[[2003,10,27]],"date-time":"2003-10-27T18:06:14Z","timestamp":1067277974000},"page":"704-707","source":"Crossref","is-referenced-by-count":58,"title":["Minimally Invasive Video\u2010assisted Parathyroidectomy: Multiinstitutional Study"],"prefix":"10.1002","volume":"25","author":[{"given":"Kerstin","family":"Lorenz","sequence":"first","affiliation":[{"name":"Department of General Surgery Martin\u2010Luther\u2010University of Halle\u2010Wittenberg Ernst\u2010Grube\u2010Strasse 40 06097 Halle\/Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Miccoli","sequence":"additional","affiliation":[{"name":"Dipartimento Di Chirurgia, Universita' di Pisa, Chirurgia Generale II, Unit\u00e0 die Endocrino\u2010Chirurgia, Via Roma 67 56100 Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Monchik","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery Rhode Island Hospital 154 Waterman Street, Providence Rhode Island 02906 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mete","family":"D\u00fcren","sequence":"additional","affiliation":[{"name":"Department of Surgery Akatlar Maya Sitesi, K. 20 80630 Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Dralle","sequence":"additional","affiliation":[{"name":"Department of General Surgery Martin\u2010Luther\u2010University of Halle\u2010Wittenberg Ernst\u2010Grube\u2010Strasse 40 06097 Halle\/Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,20]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-001-0018-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-001-0018-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-001-0018-3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T20:23:31Z","timestamp":1705004611000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-001-0018-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,6]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2001,6]]}},"alternative-id":["10.1007\/s00268-001-0018-3"],"URL":"https:\/\/doi.org\/10.1007\/s00268-001-0018-3","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,6]]}}}