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Between 2006 and 2020, 53 patients underwent MIVAP and 182 underwent conventional parathyroidectomy for rHPT at the Kliniken Essen-Mitte and Knappschaftskrankenhaus Bochum, respectively. Two propensity score-matched groups were retrospectively analyzed: the MIVAP group (VG; <jats:italic>n<\/jats:italic>\u2009=\u200953) and the conventional group (CG; <jats:italic>n<\/jats:italic>\u2009=\u200953). To assess long-term results, the patients were questioned prospectively (VG; <jats:italic>n<\/jats:italic>\u2009=\u200917, and CG; <jats:italic>n<\/jats:italic>\u2009=\u200926). The VG had a smaller incision (2.8 vs. 4.8\u00a0cm), shorter operation duration (81.0 vs. 13.9\u00a0min), and shorter duration of stay (2.4 vs. 5.7\u00a0days) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) but a smaller drop in parathyroid hormone (PTH) postoperatively (81.3 vs. 85.5%. <jats:italic>p<\/jats:italic>\u2009=\u20090.022) than the CG. The conversion rate was 9.4% (<jats:italic>n<\/jats:italic>\u2009=\u20095). The VG had better Patient Scar Assessment Scale (PSAS) scores (10.8 vs. 11.7 <jats:italic>p<\/jats:italic>\u2009=\u20090.001) but worse SF-12 health survey scores (38.7 vs. 45.8 for physical health and 46.7 vs. 53.4 for mental health) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The PTH level at follow-up was higher in the VG (162.7 vs. 59.1\u00a0ng\/l, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). There were no differences in morbidity, number of removed parathyroid glands, disease persistence, late rHPT relapse and need for repeat surgery between groups. MIVAP was superior to conventional parathyroidectomy regarding aesthetic outcomes and cost effectiveness. Conventional surgery showed better control of PTH levels and health scores on follow-up than MIVAP, without any impact on rHPT relapse and need for repeat surgery.<\/jats:p><jats:p>Trail registration number and date of registration: DRKS00022545 on 14.12.2020.<\/jats:p>\n                <jats:p><jats:bold>Graphical abstract<\/jats:bold><\/jats:p>","DOI":"10.1007\/s13304-022-01291-9","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T09:04:37Z","timestamp":1653469477000},"page":"1419-1428","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Minimally invasive video-assisted parathyroidectomy (MIVAP) versus conventional parathyroidectomy for renal hyperparathyroidism: a retrospective multicenter study"],"prefix":"10.1007","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0862-5614","authenticated-orcid":false,"given":"Iurii","family":"Snopok","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Viebahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Walz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiota","family":"Zgoura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8508-9934","authenticated-orcid":false,"given":"Pier Francesco","family":"Alesina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,25]]},"reference":[{"key":"1291_CR1","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1007\/s00423-018-1726-6","volume":"403","author":"WY Van Der Plas","year":"2018","unstructured":"Van Der Plas WY, Dulfer RR, Koh EY et al (2018) Safety and efficacy of subtotal or total parathyroidectomy for patients with secondary or tertiary hyperparathyroidism in four academic centers in the Netherlands. 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All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and\/or national research declarations and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants prospectively included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors consent to the publication of the study in the journal in case of acceptance.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}