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Gabrielle S.A.

Krasnodar Regional Clinical Hospital No. 2

Durlester V.M.

Krasnodar Regional Clinical Hospital No. 2

Ryabchenko E.V.

Krasnodar Regional Clinical Hospital No. 2

Polyansky E.A.

Krasnodar Regional Clinical Hospital No. 2

Dremlyuga N.V.

Krasnodar Regional Clinical Hospital No. 2

Gazzaev K.D.

Krasnodar Regional Clinical Hospital No. 2

Endoscopic parathyroidectomy. Experience of performance in the interterritorial center of endocrine surgery of the regional clinical hospital of Krasnodar

Authors:

Gabrielle S.A., Durlester V.M., Ryabchenko E.V., Polyansky E.A., Dremlyuga N.V., Gazzaev K.D.

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Journal: Endoscopic Surgery. 2025;31(4): 54‑60

DOI: 10.17116/endoskop20253104154

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Table of contents

ENDOSCOPIC PARATHYROIDECTOMY. EXPERIENCE OF PERFORMANCE IN THE INTERTERRITORIAL CENTER OF ENDOCRINE SURGERY OF THE REGIONAL CLINICAL HOSPITAL OF KRASNODAR
ENDOSCOPIC PARATHYROIDECTOMY. EXPERIENCE OF PERFORMANCE IN THE INTERTERRITORIAL CENTER OF ENDOCRINE SURGERY OF THE REGIONAL CLINICAL HOSPITAL OF KRASNODAR

To cite this article:

Gabrielle SA, Durlester VM, Ryabchenko EV, Polyansky EA, Dremlyuga NV, Gazzaev KD. Endoscopic parathyroidectomy. Experience of performance in the interterritorial center of endocrine surgery of the regional clinical hospital of Krasnodar. Endoscopic Surgery. 2025;31(4):54‑60. (In Russ.)
https://doi.org/10.17116/endoskop20253104154

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Endoscopic neck surgery is becoming more widespread and popular all over the world. Endoscopic parathyroidectomy is a worthy analogue of open parathyroidectomy.

OBJECTIVE

The aim of this study was to evaluate the safety of endoscopic parathyroidectomy in the treatment of primary hyperparathyroidism (PHPT) and to determine the advantages of this method compared to open parathyroidectomy (OP).

MATERIAL AND METHODS

A retrospective analysis was conducted on 30 patients, divided into two groups. The first group included 16 patients who underwent endoscopic parathyroidectomy (EP), while the second group consisted of 14 patients who underwent traditional open parathyroidectomy between September 2023 and April 2024. All patients underwent ultrasound examination of the thyroid and parathyroid glands, scintigraphy, and SPECT/CT of the parathyroid glands. Treatment outcomes were assessed based on surgical efficacy, need for conversion, complication rates, early recovery, and cosmetic results. The choice of surgical method was based on the location and size of the lesion, as well as individual body characteristics of the patient. All patients were informed about possible complications and risks, and signed informed consent forms.

RESULTS

The proportion of younger patients in the endoscopic group was higher than in the open surgery group, and the difference was statistically significant (54.2±11.5 years vs. 63.5±18.0 years, p<0.05). Differences in operative time, intraoperative blood loss, length of hospital stay, and surgical effectiveness between the two groups were not statistically significant (p>0.05). Aesthetic evaluation of the postoperative scar was significantly better in the endoscopic group compared to the open surgery group.

CONCLUSION

EP is an excellent surgical option for PHPT with a single adenoma. However, it cannot yet be stated that the endoscopic method is superior to open surgery, due to the small patient sample and short postoperative follow-up period. Further large-scale studies are needed to validate this technique as an alternative to the classic open approach.

Keywords:

parathyroidectomy
endoscopic parathyroidectomy
parathyroid adenoma
hyperparathyroidism

Authors:

Gabrielle S.A.

Krasnodar Regional Clinical Hospital No. 2

Durlester V.M.

Krasnodar Regional Clinical Hospital No. 2

Ryabchenko E.V.

Krasnodar Regional Clinical Hospital No. 2

Polyansky E.A.

Krasnodar Regional Clinical Hospital No. 2

Dremlyuga N.V.

Krasnodar Regional Clinical Hospital No. 2

Gazzaev K.D.

Krasnodar Regional Clinical Hospital No. 2

Received:

28.07.2024

Accepted:

05.11.2024

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