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Comparing Outcomes in Video-Assisted and Open Parathyroidectomy for Patients With Primary Hyperparathyroidism: A Systematic Review and Meta-Analysis

Le Linn Yun|Srinivasan Nandhini|Sultana Rehena|Iyer N. Gopalakrishna|Dharmawan Rena
대한내분비외과학회 (Korean Association of Endocrine Surgeons)|2023.12|Journal of Endocrine Surgery|제23권 제4호|pp. 97-112|DOI 10.16956/jes.2023.23.4.97

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참고문헌

키워드

Primary hyperparathyroidismEndoscopyParathyroidectomyVideo-assisted surgery

초록

The treatment of primary hyperparathyroidism (PHPT) has evolved beyond traditional 4-gland exploration to more targeted and less invasive approaches. One such approach is the minimally invasive video-assisted parathyroidectomy (MIVAP). While this has been adopted by several institutions who reported promising results, there have been no assessment of the existing literature of its efficacy and safety. The aim of this study was to compare the outcomes of MIVAP and open surgery for PHPT. We performed a systematic review and meta-analysis of literature comparing outcomes of MIVAP vs. open surgery for PHPT. Forty studies were shortlisted, of which 14 were comparative. Two thousand thirty-five patients underwent MIVAP of mean age 58.6±7.8 years. Mean length of stay (LOS) was 1.83±1.3 days, pain score 1.84±0.69 and satisfaction with cosmesis 8.8±0.63. Bleeding risk was 0.4%, recurrent laryngeal nerve (RLN) injury risk was 1.3%, and no post-operative mortality was reported. Patients who underwent MIVAP had a significant shorter LOS compared to open surgery (mean difference, −0.27; 95% confidence interval, −0.45, −0.10; P=0.002), but had no difference in pain, cosmesis, failure to cure, bleeding, and RLN injury risks. MIVAP is safe and efficacious in treating PHPT, and may be associated with shorter LOS.

Abstract

The treatment of primary hyperparathyroidism (PHPT) has evolved beyond traditional 4-gland exploration to more targeted and less invasive approaches. One such approach is the minimally invasive video-assisted parathyroidectomy (MIVAP). While this has been adopted by several institutions who reported promising results, there have been no assessment of the existing literature of its efficacy and safety. The aim of this study was to compare the outcomes of MIVAP and open surgery for PHPT. We performed a systematic review and meta-analysis of literature comparing outcomes of MIVAP vs. open surgery for PHPT. Forty studies were shortlisted, of which 14 were comparative. Two thousand thirty-five patients underwent MIVAP of mean age 58.6±7.8 years. Mean length of stay (LOS) was 1.83±1.3 days, pain score 1.84±0.69 and satisfaction with cosmesis 8.8±0.63. Bleeding risk was 0.4%, recurrent laryngeal nerve (RLN) injury risk was 1.3%, and no post-operative mortality was reported. Patients who underwent MIVAP had a significant shorter LOS compared to open surgery (mean difference, −0.27; 95% confidence interval, −0.45, −0.10; P=0.002), but had no difference in pain, cosmesis, failure to cure, bleeding, and RLN injury risks. MIVAP is safe and efficacious in treating PHPT, and may be associated with shorter LOS.

참고문헌 (73)

  1. Bilezikian JP, "Guidelines for the management of asymptomatic primary hyperparathyroidism : summary statement from the Fourth International Workshop", J Clin Endocrinol Metab, 99, pp.3561~3569 (2014)
  2. Eastell R, "Diagnosis of asymptomatic primary hyperparathyroidism : proceedings of the Fourth International Workshop", J Clin Endocrinol Metab, 99, pp.3570~3579 (2014)
  3. Sitges-Serra A, "Clinical update : sporadic primary hyperparathyroidism", Lancet, 370, pp.468~470 (2007)
  4. Wilhelm SM, "The American Association of Endocrine Surgeons guidelines for definitive management of primary hyperparathyroidism", JAMA Surg, 151, pp.959~968 (2016)
  5. Duh QY, "Presidential address : minimally invasive endocrine surgery--standard of treatment or hype?", Surgery, 134, pp.849~857 (2003)
  6. Bellantone R, "Minimally-invasive parathyroid surgery", Acta Otorhinolaryngol Ital, 31, pp.207~215 (2011)
  7. Brunaud L, "Endoscopic and robotic parathyroidectomy in patients with primary hyperparathyroidism", Gland Surg, 5, pp.352~360 (2016)
  8. Miccoli P, "Mini-invasive video-assisted surgery of the thyroid and parathyroid glands : a 2011 update", J Endocrinol Invest, 34, pp.473~480 (2011)
  9. Moher D, "Preferred reporting items for systematic reviews and meta-analyses : the PRISMA statement", BMJ, 339, pp.b2535~ (2009)
  10. "The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses" (2021)[URL]
  11. Hessman O, "Randomized clinical trial comparing open with video-assisted minimally invasive parathyroid surgery for primary hyperparathyroidism", Br J Surg, 97, pp.177~184 (2010)
  12. Miccoli P, "Video-assisted versus conventional parathyroidectomy in primary hyperparathyroidism : a prospective randomized study", Surgery, 126, pp.1117~1121 (1999)
  13. Rio PD, "A comparison of minimally invasive video-assisted parathyroidectomy and traditional parathyroidectomy for parathyroid adenoma", J Cancer, 4, pp.458~463 (2013)
  14. Melck AL, "Case-controlled comparison of video-assisted and conventional minimally invasive parathyroidectomy", Am Surg, 78, pp.125~132 (2012)
  15. Henry JF, "Video-assisted parathyroidectomy via the lateral approach vs conventional surgery in the treatment of sporadic primary hyperparathyroidism : results of a case-control study", Surg Endosc, 15, pp.1116~1119 (2001)
  16. Zhao Q, "Application of transoral endoscopic parathyroidectomy via vestibular approach, endoscopic parathyroidectomy via areola approach for parathyroid adenoma", Eur Arch Otorhinolaryngol, 278, pp.1559~1565 (2021)
  17. Bendinelli C, "Pursuing the second ipsilateral gland during minimally invasive video-assisted parathyroidectomy", ANZ J Surg, 88, pp.E308~12 (2018)
  18. Lorenz K, "Diversification of minimally invasive parathyroidectomy for primary hyperparathyroidism : minimally invasive video-assisted parathyroidectomy and minimally invasive open videoscopically magnified parathyroidectomy with local anesthesia", World J Surg, 26, pp.1066~1070 (2002)
  19. Gauger PG, "Endoscopically assisted, minimally invasive parathyroidectomy", Br J Surg, 86, pp.1563~1566 (1999)
  20. Saito Y, "Is total endoscopic parathyroidectomy an acceptable treatment for patients with primary hyperparathyroidism due to a presumed solitary adenoma?-comparison of minimally invasive total endoscopic parathyroidectomy and open minimally invasive parathyroidectomy", Gland Surg, 10, pp.83~89 (2021)
  21. Garrel R, "Interest of video-assisted minimally invasive surgery in primary hyperparathyroidism", Eur Ann Otorhinolaryngol Head Neck Dis, 133, pp.247~251 (2016)
  22. Barczyński M, "A retrospective case-controlled study of video-assisted versus open minimally invasive parathyroidectomy", Wideochir Inne Tech Malo Inwazyjne, 9, pp.537~547 (2014)
  23. Casserly P, "Outcome measures and scar aesthetics in minimally invasive video-assisted parathyroidectomy", Arch Otolaryngol Head Neck Surg, 136, pp.260~264 (2010)
  24. Inabnet WB 3rd, "Targeted parathyroidectomy in the era of intraoperative parathormone monitoring", World J Surg, 26, pp.921~925 (2002)
  25. Vidal-Pérez Ó, "Endoscopic lateral parathyroidectomy as surgical treatment for patients with primary hyperparathyroidism", Cir Cir, 84, pp.15~20 (2016)
  26. Fouquet T, "Totally endoscopic lateral parathyroidectomy : prospective evaluation of 200 patients. ESES 2010 Vienna presentation", Langenbecks Arch Surg, 395, pp.935~940 (2010)
  27. Alesina PF, "Video-assisted bilateral neck exploration in patients with primary hyperparathyroidism and failed localization studies", World J Surg, 34, pp.2344~2349 (2010)
  28. Miccoli P, "Endoscopic bilateral neck exploration versus quick intraoperative parathormone assay(qPTHa)during endoscopic parathyroidectomy : a prospective randomized trial", Surg Endosc, 22, pp.398~400 (2008)
  29. Miccoli P, "Endoscopic parathyroidectomy by a gasless approach", J Laparoendosc Adv Surg Tech A, 8, pp.189~194 (1998)
  30. Bhandarwar A, "Endoscopic parathyroidectomy : a retrospective review of 27 cases", Surg Endosc, 35, pp.1288~1295 (2021)
  31. Bakkar S, "Less is more : time to expand the indications for minimally invasive video-assisted parathyroidectomy", J Endocrinol Invest, 40, pp.979~983 (2017)
  32. De Crea C, "Is there a role for video-assisted parathyroidectomy in regions with high prevalence of goitre?", Acta Otorhinolaryngol Ital, 33, pp.388~392 (2013)
  33. Garimella V, "Minimally invasive video-assisted parathyroidectomy is a safe procedure to treat primary hyperparathyroidism", Surgeon, 10, pp.202~205 (2012)
  34. Prades JM, "Endoscopic parathyroidectomy in primary hyperparathyroidism", Eur Arch Otorhinolaryngol, 268, pp.893~897 (2011)
  35. Dobrinja C, "Minimally invasive video-assisted parathyroidectomy. Initial experience in a General Surgery Department", J Endocrinol Invest, 32, pp.130~133 (2009)
  36. Henry JF, "Endoscopic parathyroidectomy : why and when?", World J Surg, 32, pp.2509~2515 (2008)
  37. Murphy AD, "Sestamibi scan-directed, minimally invasive video-assisted parathyroidectomy : an effective treatment for solitary parathyroid adenoma", Ir J Med Sci, 176, pp.283~287 (2007)
  38. Lo CY, "Minimally invasive endoscopic-assisted parathyroidectomy for primary hyperparathyroidism", Surg Endosc, 17, pp.1932~1936 (2003)
  39. Hallfeldt KK, "Minimally invasive video-assisted parathyroidectomy and intraoperative parathyroid hormone monitoring. The first 36 cases and some pitfalls", Surg Endosc, 16, pp.1759~1763 (2002)
  40. Ohshima A, "Endoscopic neck surgery : current status for thyroid and parathyroid diseases", Biomed Pharmacother, 56(Suppl 1), pp.48s~52s (2002)[DOI]
  41. Lorenz K, "Minimally invasive video-assisted parathyroidectomy : multiinstitutional study", World J Surg, 25, pp.704~707 (2001)
  42. De Pasquale L, "Radio-guided video-assisted parathyroidectomy : a preliminary report", Surg Endosc, 15, pp.1456~1458 (2001)
  43. Okido M, "Video-assisted parathyroidectomy for primary hyperparathyroidism : a new approach involving a skin-lifting method", Surg Endosc, 15, pp.1120~1123 (2001)
  44. Dralle H, "Minimally invasive video-assisted parathyroidectomy--selective approach to localized single gland adenoma", Langenbecks Arch Surg, 384, pp.556~562 (1999)
  45. Henry JF, "Minimally invasive videoscopic parathyroidectomy by lateral approach", Langenbecks Arch Surg, 384, pp.298~301 (1999)
  46. Miccoli P, "Endoscopic parathyroidectomy : report of an initial experience", Surgery, 124, pp.1077~1080 (1998)
  47. Yeung GH, "The technique of endoscopic exploration for parathyroid adenoma of the neck", Aust N Z J Surg, 68, pp.147~150 (1998)
  48. Junaid M, "Minimally invasive endoscopic selective parathyroidectomy", J Pak Med Assoc, 62, pp.402~405 (2012)
  49. Kitano H, "Endoscopic surgery for a parathyroid functioning adenoma resection with the neck region-lifting method", Otolaryngol Head Neck Surg, 123, pp.465~466 (2000)
  50. Naitoh T, "Endoscopic endocrine surgery in the neck. An initial report of endoscopic subtotal parathyroidectomy", Surg Endosc, 12, pp.202~205 (1998)
  51. Hallfeldt KK, "Minimally invasive video-assisted parathyroidectomy", Surg Endosc, 15, pp.409~412 (2001)
  52. Henry JF, "Endoscopic parathyroid surgery : results of 365 consecutive procedures", World J Surg, 28, pp.1219~1223 (2004)
  53. Miccoli P, "Results of video-assisted parathyroidectomy : single institution’s six-year experience", World J Surg, 28, pp.1216~1218 (2004)
  54. Miccoli P, "Minimally invasive video assisted parathyroidectomy(MIVAP)", Eur J Surg Oncol, 29, pp.188~190 (2003)
  55. Miccoli P, "Minimally invasive video-assisted parathyroidectomy : lesson learned from 137 cases", J Am Coll Surg, 191, pp.613~618 (2000)
  56. Berti P, "Limits and drawbacks of video-assisted parathyroidectomy", Br J Surg, 90, pp.743~747 (2003)
  57. Henry JF, "Indications and results of video-assisted parathyroidectomy by a lateral approach in patients with primary hyperparathyroidism", Surgery, 130, pp.999~1004 (2001)
  58. Miccoli P, "Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism", J Endocrinol Invest, 20, pp.429~430 (1997)
  59. Mourad M, "Video-assisted neck exploration for primary and secondary hyperparathyroidism : initial experience", Surg Endosc, 15, pp.1112~1115 (2001)
  60. Miccoli P, "Randomized clinical trial comparing regional and general anaesthesia in minimally invasive video-assisted parathyroidectomy", Br J Surg, 92, pp.814~818 (2005)
  61. Miccoli P, "Familial parathyroid hyperplasia : is there a place for minimally invasive surgery? Description of the first treated case", J Endocrinol Invest, 28, pp.942~943 (2005)
  62. Barczyński M, "Minimally invasive video-assisted parathyroidectomy versus open minimally invasive parathyroidectomy for a solitary parathyroid adenoma : a prospective, randomized, blinded trial", World J Surg, 30, pp.721~731 (2006)
  63. Mourad M, "Contributions of the video-assisted approach to thyroid and parathyroid surgery", Acta Chir Belg, 102, pp.323~327 (2002)
  64. Chowbey PK, "Endoscopic neck surgery : expanding horizons", J Laparoendosc Adv Surg Tech A, 9, pp.397~400 (1999)
  65. Aziz MM, "Endoscopic para-thyroidectomy : a new approach", Mymensingh Med J, 19, pp.442~446 (2010)
  66. Del Rio P, "Operative time and postoperative pain following minimally invasive video-assisted parathyroidectomy", G Chir, 31, pp.155~158 (2010)
  67. Rodrigo JP, "Minimally invasive video-assisted parathyroidectomy without intraoperative parathyroid hormone monitoring", Acta Otorrinolaringol Esp, 65, pp.355~360 (2014)
  68. Lombardi CP, "Video-assisted minimally invasive parathyroidectomy : benefits and long-term results", World J Surg, 33, pp.2266~2281 (2009)
  69. Gagner M, "Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism", Br J Surg, 83, pp.875~ (1996)
  70. Hurtado-López LM, "Endoscopic transoral parathyroidectomy : initial experience", Head Neck, 41, pp.3334~3337 (2019)
  71. Katz L, "Robotic-assisted transaxillary parathyroidectomy of an atypical adenoma", Minim Invasive Ther Allied Technol, 21, pp.201~205 (2012)
  72. Paspala A, "Robotic-assisted parathyroidectomy and short-term outcomes : a systematic review of the literature", J Robot Surg, 14, pp.821~827 (2020)
  73. Kovatcheva RD, "High-intensity focused ultrasound to treat primary hyperparathyroidism : a feasibility study in four patients", AJR Am J Roentgenol, 195, pp.830~835 (2010)

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