{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:13:36Z","timestamp":1788887616599,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2004,11,11]],"date-time":"2004-11-11T00:00:00Z","timestamp":1100131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Endoscopic surgery for primary hyperparathyroidism (PHPT) started in 1996 with a parathyroidectomy performed by Michel Gagner. The technique we propose and have been using for 6 years is based on a unique central access and external retraction. From February 1997 to October 2003, 370 of 520 patients affected with PHPT (71%) underwent minimally invasive video\u2010assisted parathyroidectomy (MIVAP). There were 72\u00a0men and 298 women, with a mean age of 55.8 years. Twenty\u2010four patients (6.5%) of the 370\u00a0in this series underwent MIVAP under loco\u2010regional anesthesia, and the others had general anesthesia. Eleven patients were lost to follow\u2010up. Surgical cure of PHPT was achieved in 353 patients (98,3%), as confirmed by a median follow\u2010up of 35.1\u00a0months (range: 2\u201382\u00a0months). Video\u2010assisted exploration was successfully performed in 350 patients (94%). The mean operative time was 36.2\u00a0minutes. In 21 cases (5.6%) a concomitant procedure was performed: a thyroid lobectomy in 14 cases and a total thyroidectomy in 7 cases. Patients were generally discharged the day after surgery. Most of the patients (91%) were satisfied with the cosmetic result 6 or more months after the procedure. Complications developed in 14 cases: 10 cases (2.7%) of transient hypoparathyroidism 3 cases (0.8%) of definitive palsies of the recurrent nerve, and 1 case of postoperative bleeding (0.27%). After 6 years of experience, MIVAP appears to be as safe and curative as traditional surgery, with better cosmetic results and better postoperative outcome.<\/jats:p>","DOI":"10.1007\/s00268-004-7638-3","type":"journal-article","created":{"date-parts":[[2004,11,5]],"date-time":"2004-11-05T12:17:42Z","timestamp":1099657062000},"page":"1216-1218","source":"Crossref","is-referenced-by-count":118,"title":["Results of Video\u2010assisted Parathyroidectomy: Single Institution\u2019s Six\u2010year Experience"],"prefix":"10.1002","volume":"28","author":[{"given":"Paolo","family":"Miccoli","sequence":"first","affiliation":[{"name":"Department of Surgery University of Pisa Via Roma 67 56100 Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Berti","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pisa Via Roma 67 56100 Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Materazzi","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pisa Via Roma 67 56100 Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Massi","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pisa Via Roma 67 56100 Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Picone","sequence":"additional","affiliation":[{"name":"Department of Endocrinology University of Pisa Via Paradisa 100 56123 Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele N.","family":"Minuto","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pisa Via Roma 67 56100 Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,11,11]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"87","article-title":"Endoscopic parathyroidectomy (Letter)","volume":"83","author":"Gagner M","year":"1996","journal-title":"Br. 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