Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) for primary hyperparathyroidism: Turkey's experience

Basit Öğe Kaydı
dc.authoridTurk, Yigit/0000-0001-9755-8163
dc.authoridşenyürek, yasemin/0000-0001-5339-1840
dc.authoridsabuncuoglu, mehmet zafer/0000-0002-5549-4023
dc.authoridTunca, Fatih/0000-0001-6889-3894
dc.authoridTuran, Mehmet ilker/0000-0002-2517-0618
dc.authoridözdemir, Murat/0000-0002-4717-4337
dc.authoridSormaz, İsmail Cem/0000-0001-6907-978X
dc.authorwosidTurk, Yigit/GLQ-8984-2022
dc.authorwosidşenyürek, yasemin/AAC-5608-2020
dc.authorwosidsabuncuoglu, mehmet zafer/KIG-1933-2024
dc.authorwosidHaciyanli, Mehmet/V-8008-2017
dc.authorwosidTunca, Fatih/AAC-7529-2020
dc.authorwosidArici, Cumhur/C-7103-2016
dc.authorwosidTuran, Mehmet ilker/GPT-3315-2022
dc.contributor.authorMakay, Ozer
dc.contributor.authorSabuncuoglu, Mehmet Zafer
dc.contributor.authorTuran, Mehmet Ilker
dc.contributor.authorSormaz, Ismail Cem
dc.contributor.authorOzdemir, Murat
dc.contributor.authorAygun, Nurcihan
dc.contributor.authorBuldur, Serhat
dc.date.accessioned2024-06-12T11:12:05Z
dc.date.available2024-06-12T11:12:05Z
dc.date.issued2022
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAim Parathyroid surgery has witnessed a significant evolution with the introduction of more efficacious preoperative localization imaging techniques and the use of rapid intraoperative parathormone assays. Parathyroid surgery can now be performed with the minimum of invasion. Through the adaptation of the transoral endoscopic thyroidectomy vestibular approach (TOETVA), the technique has now been adopted for parathyroid surgery, known as the transoral endoscopic parathyroidectomy vestibular approach (TOEPVA). We present here the initial experiences of 11 centers carrying out TOEPVA surgery in Turkey. Materials and methods Participating in the study were 11 centers, all of which were tertiary care institutions carrying out endocrine surgery. A retrospective review was made of 35 primary hyperparathyroidism patients who underwent the TOEPVA procedure between July 2017 and January 2020. Results Of the total 35 patients, 32 patients underwent the TOEPVA procedure successfully. All patients but one were female, and the mean age was 47.2 (20-73) years. According to localization studies, 18 of the lesions were lower left, 12 were lower right, 3 were upper right and 2 were upper left. The mean operative time was 116 (30-225) min, and three cases were converted to an open procedure. Simultaneous thyroidectomy was performed in seven cases. The average PTH level dropped to normal within 20 min. after the resection in all cases. The complication rate was 19% (ecchymosis, subcutaneous emphysema, nasal bleeding, surgical site infection and seroma). There were neither recurrent nerve palsies, nor mental nerve root or branch injuries. The average hospital stay was 1 day. No persistence was documented on follow up. Conclusion TOEPVA is a hidden scar parathyroidectomy procedure that can be safely performed on parathyroid adenomas, in cases that have scar-related concerns. Having its own procedure-related complications, the procedure provides satisfactory objective results, particularly in centers experienced in endoscopic and endocrine surgery.en_US
dc.identifier.doi10.1007/s00464-021-08368-3
dc.identifier.endpage1043en_US
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.issue2en_US
dc.identifier.pmid33660120en_US
dc.identifier.scopus2-s2.0-85102078287en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1037en_US
dc.identifier.urihttps://doi.org/10.1007/s00464-021-08368-3
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23036
dc.identifier.volume36en_US
dc.identifier.wosWOS:000625027200001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSurgical Endoscopy And Other Interventional Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectParathyroidectomyen_US
dc.subjectTransoral Endoscopic Approachen_US
dc.subjectTOEPVAen_US
dc.titleTransoral endoscopic parathyroidectomy vestibular approach (TOEPVA) for primary hyperparathyroidism: Turkey's experienceen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu