Minimally Invasive Parathyroidectomy under Local Anesthesia in the Treatment of Primary Hyperparathyroidism
Introduction: Primary hyperparathyroidism is a common endocrine disorder that affects nearly 1 in 500 women and 1 in 2,000 men per year, most often between the fifth and seventh decades of life. In over 80% of cases, a solitary hyperfunctional adenoma is responsible for the disease and surgical treatment is necessary.
Objectives: The aim of this study is to describe the surgical technique of minimally invasive parathyroidectomy under local anesthesia.
Methods: Five patients from the ENT, head, and neck service of a tertiary university hospital with primary hyperparathyroidism were selected and submitted to this surgical technique.
Results: Five patients underwent the technique of minimally invasive parathyroidectomy under local anesthesia. All surgeries were uneventful. The average hospital stay was 2 days and no patient had postoperative complications and was discharged to outpatient care. In 100% of patients, PTH dosed after a week of surgery, and was within the levels of normal and pathological examination of the surgical specimen confirmed hyperfunctioning parathyroid adenoma. Mean follow-up till date is 14.2 months (range, 8-24 months) and all the patients are free of disease so far.
Conclusion: Minimally invasive surgery for hyperfunctioning parathyroid adenoma is safe and effective.