Minimally invasive video-assisted subtotal parathyroidectomy with thymectomy for secondary hyperparathyroidism.
BACKGROUND
Secondary hyperparathyroidism (sHPT) is common in patients with chronic renal failure. Bilateral cervical exploration is optimal for patients with sHPT. The aims of this clinical trial are to evaluate the feasibility of video-assisted subtotal parathyroidectomy as an alternative surgical treatment for sHPT.


METHODS
This prospective study included 12 consecutive patients with sHPT. Surgical indications included a high intact parathormone level, enlarged parathyroid glands, high bone turnover and conditions refractory to medical treatment of hypercalcemia and hyperphosphatemia.


RESULTS
All patients underwent minimally invasive video-assisted subtotal parathyroidectomy and trans-cervical thymectomy. Four cervical glands were found in all patients and intrathymic glands were identified in three (25%) patients.


CONCLUSIONS
Minimally invasive video-assisted subtotal parathyroidectomy offers an alternative method, and this technique can be performed safely for sHPT.
Barbaros
Umut
U
Department of Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Erbil
Yeşim
Y
Yildirim
Alaattin
A
Saricam
Gülay
G
Yazici
Halil
H
Ozarmağan
Selçuk
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D016105:Parathyroidectomy / Q000379:methods*; D011446:Prospective Studies; D013934:Thymectomy; D016896:Treatment Outcome; D020535:Video-Assisted Surgery