title: [Endoscopic lateral parathyroidectomy as surgical treatment for patients with primary hyperparathyroidism].
abstract: BACKGROUND
  Most surgeons have rapidly accepted the use of minimally invasive surgical approaches for the treatment of primary hyperparathyroidism. The role of the endoscope in neck surgery is still being discussed due to its technical difficulty and complex patient selection criteria.
  
  
  METHODS
  A prospective study was conducted between April 2010 and April 2013. It included patients diagnosed with sporadic primary hyperparathyroidism (sPHPT) by locating a single adenoma using ultrasound and sestamibi scintigraphy imaging. All patients agreed to be included in the study. Experienced endocrine surgeons that had been trained in endocrine minimally invasive surgery performed the procedure. The same surgical technique was used in all of the cases. The demographic and clinical variables were evaluated. A descriptive analysis was performed on the data measuring mean, standard deviation, and range.
  
  
  RESULTS
  A total of 28 endoscopic lateral parathyroidectomies were performed. All patients were diagnosed with sporadic hyperparathyroidism sPHPT. The mean age was 68 years (59-89). No intraoperative complications were registered. Postoperative morbidity was comparable to that reported in the classical approach. A favourable outcome was observed in 27 of the 28 patients (96%) after a mean follow-up time of 22 (9 - 53) months.
  
  
  CONCLUSIONS
  An endoscopic approach for hyperparathyroidism sPHPT is feasible and reproducible, and it obtains comparable results to the classical open surgery. Several factors make this technique suitable for highly specialised hospitals with a high patient volume and specialised endocrine surgery units.
authors.affiliation: Sección de Cirugía General y Endocrina, Servicio de Cirugía General y Digestiva, Instituto de Malalties Digestives i Metabolisme, Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España. Electronic address: ovidal@clinic.ub.es.
authors.forename: Óscar
authors.initials: Ó
authors.lastname: Vidal-Pérez
authors.affiliation: Sección de Cirugía General y Endocrina, Servicio de Cirugía General y Digestiva, Instituto de Malalties Digestives i Metabolisme, Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
authors.forename: Mauro
authors.initials: M
authors.lastname: Valentini
authors.affiliation: Sección de Cirugía General y Endocrina, Servicio de Cirugía General y Digestiva, Instituto de Malalties Digestives i Metabolisme, Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Baanante-Cerdeña
authors.affiliation: Sección de Cirugía General y Endocrina, Servicio de Cirugía General y Digestiva, Instituto de Malalties Digestives i Metabolisme, Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
authors.forename: César
authors.initials: C
authors.lastname: Ginestà-Martí
authors.affiliation: Sección de Cirugía General y Endocrina, Servicio de Cirugía General y Digestiva, Instituto de Malalties Digestives i Metabolisme, Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
authors.forename: Laureano
authors.initials: L
authors.lastname: Fernández-Cruz
authors.affiliation: Sección de Cirugía General y Endocrina, Servicio de Cirugía General y Digestiva, Instituto de Malalties Digestives i Metabolisme, Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: García-Valdecasas
mesh_terms: D000236:Adenoma / Q000150:complications / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D061887:Conversion to Open Surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D049950:Hyperparathyroidism, Primary / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D061226:Recurrent Laryngeal Nerve Injuries / Q000209:etiology; D016896:Treatment Outcome
keywords: Cirugía cervical endoscópica; Endoscopic lateral parathyroidectomy; Endoscopic neck surgery; Novel technique; Nuevos procedimientos; Parathyroid; Paratiroidectomía lateral endoscópica; Paratiroides