Review Article

Minimally Invasive Parathyroidectomy

Table 1

Summary of studies describing technique and outcomes of minimally invasive parathyroidectomy.

StudyMethodsStudy typeSuccess ratePre-opIntra-op

Adil et al. [46]305 patients (1997–2007)Retrospective case series100% successPre-op sestamibiIOPTH gamma probe
Krausz et al. [47]541 patientsProspective cohort study97% successPre-op sestamibi scan or ultrasoundIOPTH
Sevinç et al. [48]56 patients (25 MIP, 31 MIRP)Prospective studySimilar outcomesPre-op sestamibiIOPTH in MIP gamma probe in MIRP
Sugino et al. [49]167 patients (80 IOPTH monitoring, 87 without IOPTH monitoring)Prospective study97% versus 93%Pre-op sestamibi scan, ultrasound, or CT scan
Fouquet et al. [50]200 patientsProspective study72% success 28% converted to openPre-op sestamibi scan or ultrasoundIOPTH
Hessman et al. [51]143 patients (75 MIP, 68 VAP)Multicenter prospective randomized control trialSimilar outcomes (conversion rate, pain), VAP longerPre-op sestamibi scanIOPTH
Slepavicius et al. [52]48 patients (24-focused exploration)Prospective randomized control trialSimilar outcomesPre-op sestamibi scan or ultrasoundIOPTH
Shindo et al. [53]186 patientsProspective study (historical cohort)95% successPre-op sestamibi scan or ultrasoundIOPTH
Shindo and  Rosenthal [54]88 patientsRetrospective review91% successPre-op sestamibi scan or ultrasoundIOPTH
Rubello et al. [55]452 patients 344 MIRPProspective study93% successPre-op sestamibi scan or ultrasoundIOPTH gamma probe
Lindekleiv et al. [56]47 patientsRetrospective study97% successPre-op sestamibi scanIOPTH
Aarum et al. [57]50 patients 23 MIP, 26 conventionalProspective randomized control trial96% versus 94%Pre-op sestamibi and ultrasoundIOPTH
Tang et al. [58]202 patients 50 MIP, 152 openRetrospective studyImproved quality of life
Politz et al. [59]152 patients (118 MIP, 34 open)Retrospective study98% successPre-op sestamibi scanIntra-op gamma probe
Pang et al. [60]500 patients prospectiveProspective study97.4% successPre-op sestamibi scan + ultrasound for incision placement
Soon et al. [61]699 patientsRetrospective studyIOPTH (not used as management aid)
Mihai et al. [62]298 patients 182-sestamibi 150-MIPProspective study97.3% successPre-op sestamibi scan
Caudle et al. [63]140 patientsProspective study96% successPre-op sestamibiIntra-op gamma probe, frozen section
Alfadda et al. [64]55 patientsRetrospective study93% success
Carling et al. [43]441 patientsProspective case series10% conversion to GA (thyroid exploration/conversion to open exploration/patient discomfort)Pre-op sestamibi scan or ultrasoundIOPTH
Barczynski et al. [65]60 patients 30 MIP, 30 VAPProspective randomized control trial97% success in both groups,  VAP with decreased pain & need for analgesiaPre-op sestamibi and ultrasoundIOPTH
Cohen et al. [66]130 patientsRetrospective review98.6% successPre-op sestamibi scan and/or ultrasoundIOPTH
Ollila et al. [67]77 patientsRetrospective review96% successPre-op sestamibi scanIntra-op gamma probe, selective frozen section
Miccoli et al. [68]51 patients 26-RA, 25-GAProspective randomized control trialDecreased operative time and post-op need for analgesia with RAPre-op sestamibi scan and ultrasoundIOPTH
Mekel et al. [69]146 patients 84 MIP (79%)Prospective studyPre-op sestamibi scan or ultrasoundIOPTH
Grant et al. [70]1361 patientsRetrospective review54% open exploration 44% MIP (2% conversion)
Rubello et al. [71]268 patientsRetrospective review96.8% successPre-op sestamibi and/or ultrasoundIOPTH
Bergenfelz et al. [72]50 patients 25-MIVAP, 25-openProspective randomized control trialDecreased operating time with MIPPre-op sestamibi scanIOPTH