Int Arch Otorhinolaryngol 2014; 18 - a2449
DOI: 10.1055/s-0034-1388887

Minimally Invasive Parathyroidectomy under Local Anesthesia in the Treatment of Primary Hyperparathyroidism

Fernando Laffitte Fernandes 1, Carlos Takahino Chone 1, Flávio Mignone Gripp 1, Lucas Ricci Bento 1, Pablo Soares Gomes Pereira 1, Raquel Andrade Lauria 1
  • 1Universidade Estadual de Campinas (UNICAMP)

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.