PMID- 35612728
OWN - NLM
STAT- MEDLINE
DCOM- 20220802
LR  - 20220802
IS  - 2038-3312 (Electronic)
IS  - 2038-131X (Print)
IS  - 2038-131X (Linking)
VI  - 74
IP  - 4
DP  - 2022 Aug
TI  - Minimally invasive video-assisted parathyroidectomy (MIVAP) versus conventional 
      parathyroidectomy for renal hyperparathyroidism: a retrospective multicenter 
      study.
PG  - 1419-1428
LID - 10.1007/s13304-022-01291-9 [doi]
AB  - To compare minimally invasive video-assisted parathyroidectomy (MIVAP) versus 
      conventional surgery for renal hyperparathyroidism (rHPT). Between 2006 and 2020, 
      53 patients underwent MIVAP and 182 underwent conventional parathyroidectomy for 
      rHPT at the Kliniken Essen-Mitte and Knappschaftskrankenhaus Bochum, 
      respectively. Two propensity score-matched groups were retrospectively analyzed: 
      the MIVAP group (VG; n = 53) and the conventional group (CG; n = 53). To assess 
      long-term results, the patients were questioned prospectively (VG; n = 17, and 
      CG; n = 26). The VG had a smaller incision (2.8 vs. 4.8 cm), shorter operation 
      duration (81.0 vs. 13.9 min), and shorter duration of stay (2.4 vs. 5.7 days) 
      (p < 0.0001) but a smaller drop in parathyroid hormone (PTH) postoperatively 
      (81.3 vs. 85.5%. p = 0.022) than the CG. The conversion rate was 9.4% (n = 5). 
      The VG had better Patient Scar Assessment Scale (PSAS) scores (10.8 vs. 11.7 
      p = 0.001) but worse SF-12 health survey scores (38.7 vs. 45.8 for physical 
      health and 46.7 vs. 53.4 for mental health) (p < 0.0001). The PTH level at 
      follow-up was higher in the VG (162.7 vs. 59.1 ng/l, p < 0.0001). There were no 
      differences in morbidity, number of removed parathyroid glands, disease 
      persistence, late rHPT relapse and need for repeat surgery between groups. MIVAP 
      was superior to conventional parathyroidectomy regarding aesthetic outcomes and 
      cost effectiveness. Conventional surgery showed better control of PTH levels and 
      health scores on follow-up than MIVAP, without any impact on rHPT relapse and 
      need for repeat surgery.Trail registration number and date of registration: 
      DRKS00022545 on 14.12.2020.
CI  - (c) 2022. The Author(s).
FAU - Snopok, Iurii
AU  - Snopok I
AUID- ORCID: 0000-0003-0862-5614
AD  - Department of Surgery, Ruhr-University Bochum, Knappschaftskrankenhaus, Bochum, 
      Germany. Iurii.snopok@kk-bochum.de.
FAU - Viebahn, Richard
AU  - Viebahn R
AD  - Department of Surgery, Ruhr-University Bochum, Knappschaftskrankenhaus, Bochum, 
      Germany.
FAU - Walz, Martin
AU  - Walz M
AD  - Klinik Fur Chirurgie and Zentrum Fur Minimal Invasive Chirurgie, Evang, Kliniken 
      Essen-Mitte, Essen, Germany.
FAU - Zgoura, Panagiota
AU  - Zgoura P
AD  - Medical Department I, Ruhr-University Bochum, University Hospital Marienhospital 
      Herne, Herne, Germany.
FAU - Alesina, Pier Francesco
AU  - Alesina PF
AUID- ORCID: 0000-0002-8508-9934
AD  - Klinik Fur Endokrine Chirurgie, Helios University Hospital Wuppertal, Wuppertal, 
      Germany.
LA  - eng
GR  - 1/CX/CSRD VA/United States
GR  - 1/CX/CSRD VA/United States
PT  - Journal Article
PT  - Multicenter Study
DEP - 20220525
PL  - Italy
TA  - Updates Surg
JT  - Updates in surgery
JID - 101539818
SB  - IM
MH  - Humans
MH  - *Hyperparathyroidism/surgery
MH  - Minimally Invasive Surgical Procedures/methods
MH  - *Parathyroidectomy/methods
MH  - Recurrence
MH  - Retrospective Studies
MH  - Video-Assisted Surgery/methods
PMC - PMC9338138
OTO - NOTNLM
OT  - MIVAP
OT  - Parathyroidectomy
OT  - Propensity score matching
OT  - Renal hyperparathyroidism
OT  - Renal insufficiency
OT  - Retrospective
COIS- The authors declare no competing interests.
EDAT- 2022/05/26 06:00
MHDA- 2022/08/03 06:00
PMCR- 2022/05/25
CRDT- 2022/05/25 11:20
PHST- 2022/01/11 00:00 [received]
PHST- 2022/04/03 00:00 [accepted]
PHST- 2022/05/26 06:00 [pubmed]
PHST- 2022/08/03 06:00 [medline]
PHST- 2022/05/25 11:20 [entrez]
PHST- 2022/05/25 00:00 [pmc-release]
AID - 10.1007/s13304-022-01291-9 [pii]
AID - 1291 [pii]
AID - 10.1007/s13304-022-01291-9 [doi]
PST - ppublish
SO  - Updates Surg. 2022 Aug;74(4):1419-1428. doi: 10.1007/s13304-022-01291-9. Epub 
      2022 May 25.