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Erschienen in: Updates in Surgery 2/2017

15.06.2017 | Review Article

Video-assisted endocrine neck surgery: state of the art

verfasst von: Luca Sessa, Celestino Pio Lombardi, Carmela De Crea, Marco Raffaelli, Rocco Bellantone

Erschienen in: Updates in Surgery | Ausgabe 2/2017

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Abstract

During the last two decades, several minimally invasive approaches for endocrine neck surgery have been developed. Minimally invasive video-assisted approaches (minimally invasive video-assisted parathyroidectomy and minimally invasive video-assisted thyroidectomy) gained a quite large worldwide diffusion, maybe because these techniques combine the advantages related to the endoscopic magnification with those due to the close similarity with the conventional surgery that makes these surgical approaches reproducible and feasible in different surgical settings. Several comparative studies have demonstrated the advantages of minimally invasive video-assisted neck surgery in terms of reduced postoperative pain, better cosmetic result, and higher patients’ satisfaction over the conventional endocrine neck surgery. An accurate patients’ selection plays a key role to ensure the success of minimally invasive video-assisted approaches. To date, in selected cases and in experienced Center, minimally invasive video-assisted endocrine neck surgery could be considered the standard treatment or at least a safe and effective surgical option.
Literatur
1.
Zurück zum Zitat Duh QY (2003) Presidential address: minimally invasive endocrine surgery—standard treatment of treatment or hype? Surgery 134:849–857CrossRefPubMed Duh QY (2003) Presidential address: minimally invasive endocrine surgery—standard treatment of treatment or hype? Surgery 134:849–857CrossRefPubMed
2.
Zurück zum Zitat Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83:875CrossRefPubMed Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83:875CrossRefPubMed
3.
Zurück zum Zitat Gagner M, Inabnet WB (2001) Endoscopic thyroidectomy for solitary thyroid nodules. Thyroid 11:161–163CrossRefPubMed Gagner M, Inabnet WB (2001) Endoscopic thyroidectomy for solitary thyroid nodules. Thyroid 11:161–163CrossRefPubMed
4.
Zurück zum Zitat Inabnet WB III, Jacob BP, Gagner M (2003) Minimally invasive endoscopic thyroidectomy by a cervical approach. Surg Endosc 17:1808–1811CrossRefPubMed Inabnet WB III, Jacob BP, Gagner M (2003) Minimally invasive endoscopic thyroidectomy by a cervical approach. Surg Endosc 17:1808–1811CrossRefPubMed
5.
Zurück zum Zitat Yeung GH (1998) Endoscopic surgery of the neck: a new frontier. Surg Laparosc Endosc 8:227–232CrossRefPubMed Yeung GH (1998) Endoscopic surgery of the neck: a new frontier. Surg Laparosc Endosc 8:227–232CrossRefPubMed
6.
Zurück zum Zitat Ikeda Y, Takami H, Tajima G, Sasaki Y, Takayama J, Kurihara H et al (2002) Total endoscopic thyroidectomy: axillary or anterior chest approach. Biomed Pharmacother 56(1 Suppl):72s–78sCrossRefPubMed Ikeda Y, Takami H, Tajima G, Sasaki Y, Takayama J, Kurihara H et al (2002) Total endoscopic thyroidectomy: axillary or anterior chest approach. Biomed Pharmacother 56(1 Suppl):72s–78sCrossRefPubMed
7.
Zurück zum Zitat Miccoli P, Pinchera A, Cecchini G et al (1997) Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest 20:429–430CrossRefPubMed Miccoli P, Pinchera A, Cecchini G et al (1997) Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest 20:429–430CrossRefPubMed
8.
Zurück zum Zitat Bellantone R, Lombardi CP, Raffaelli M, Rubino F, Boscherini M, Perilli W (1999) Minimally invasive, totally gasless video-assisted thyroid lobectomy. Am J Surg 177:342–343CrossRefPubMed Bellantone R, Lombardi CP, Raffaelli M, Rubino F, Boscherini M, Perilli W (1999) Minimally invasive, totally gasless video-assisted thyroid lobectomy. Am J Surg 177:342–343CrossRefPubMed
9.
Zurück zum Zitat Miccoli P, Berti P, Bendinelli C, Conte M, Fasolini F, Martino E (2000) Minimally invasive video-assisted surgery of the thyroid: a preliminary report. Langenbecks Arch Surg 385:261–264CrossRefPubMed Miccoli P, Berti P, Bendinelli C, Conte M, Fasolini F, Martino E (2000) Minimally invasive video-assisted surgery of the thyroid: a preliminary report. Langenbecks Arch Surg 385:261–264CrossRefPubMed
10.
Zurück zum Zitat Mourad M, Saab N, Malaise J, Ngongang C, Fournier B, Daumerie C et al (2001) Minimally invasive video-assisted approach for partial and total thyroidectomy: initial experience. Surg Endosc 15:1108–1111CrossRefPubMed Mourad M, Saab N, Malaise J, Ngongang C, Fournier B, Daumerie C et al (2001) Minimally invasive video-assisted approach for partial and total thyroidectomy: initial experience. Surg Endosc 15:1108–1111CrossRefPubMed
11.
Zurück zum Zitat Ferzli GS, Sayad P, Abdo Z, Cacchione R (2001) Minimally invasive, nonendoscopic thyroid surgery. J Am Coll Surg 192:665–668CrossRefPubMed Ferzli GS, Sayad P, Abdo Z, Cacchione R (2001) Minimally invasive, nonendoscopic thyroid surgery. J Am Coll Surg 192:665–668CrossRefPubMed
12.
Zurück zum Zitat Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, De Crea C, Traini E (2002) Video-assisted thyroidectomy. J Am Coll Surg 194:610–614CrossRefPubMed Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, De Crea C, Traini E (2002) Video-assisted thyroidectomy. J Am Coll Surg 194:610–614CrossRefPubMed
13.
Zurück zum Zitat Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D (2000) Minimally invasive video-assisted thyroidectomy. Am J Surg 181:567–570CrossRef Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D (2000) Minimally invasive video-assisted thyroidectomy. Am J Surg 181:567–570CrossRef
14.
Zurück zum Zitat Miccoli P, Berti P, Raffaelli M, Materazzi G, Baldacci S, Rossi G (2001) Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomised study. Surgery 130:1039–1043CrossRefPubMed Miccoli P, Berti P, Raffaelli M, Materazzi G, Baldacci S, Rossi G (2001) Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomised study. Surgery 130:1039–1043CrossRefPubMed
15.
Zurück zum Zitat Bellantone R, Lombardi CP, Bossola M, Boscherini M, De Crea C, Alesina PF et al (2002) Video-assisted vs conventional thyroid lobectomy—a randomized trial. Arch Surg 137:301–304CrossRefPubMed Bellantone R, Lombardi CP, Bossola M, Boscherini M, De Crea C, Alesina PF et al (2002) Video-assisted vs conventional thyroid lobectomy—a randomized trial. Arch Surg 137:301–304CrossRefPubMed
16.
Zurück zum Zitat Gal I, Solymosi T, Szabo Z, Balint A, Bolgar G (2008) Minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. Surg Endosc 22:2445–2449CrossRefPubMed Gal I, Solymosi T, Szabo Z, Balint A, Bolgar G (2008) Minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. Surg Endosc 22:2445–2449CrossRefPubMed
17.
Zurück zum Zitat El-Labban GM (2009) Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: a single-blinded, randomized controlled clinical trial. J Minim Access Surg 5:97–102CrossRefPubMedPubMedCentral El-Labban GM (2009) Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: a single-blinded, randomized controlled clinical trial. J Minim Access Surg 5:97–102CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Miccoli P, Rago R, Massi M, Panicucci E, Metelli MR, Berti P, Minuto MN (2010) Standard versus video-assisted thyroidectomy: objective postoperative pain evaluation. Surg Endosc 24:2415–2417CrossRefPubMed Miccoli P, Rago R, Massi M, Panicucci E, Metelli MR, Berti P, Minuto MN (2010) Standard versus video-assisted thyroidectomy: objective postoperative pain evaluation. Surg Endosc 24:2415–2417CrossRefPubMed
19.
Zurück zum Zitat Miccoli P, Bellantone R, Mourad M, Walz M, Raffaelli M, Berti P (2002) Minimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg 26:972–975CrossRefPubMed Miccoli P, Bellantone R, Mourad M, Walz M, Raffaelli M, Berti P (2002) Minimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg 26:972–975CrossRefPubMed
20.
Zurück zum Zitat Del Rio P, Sommaruga L, Cataldo S, Robuschi G, Arcuri MF, Sianesi M (2008) Minimally invasive video-assisted thyroidectomy: the learning curve. Eur Surg Res 41:33–36CrossRefPubMed Del Rio P, Sommaruga L, Cataldo S, Robuschi G, Arcuri MF, Sianesi M (2008) Minimally invasive video-assisted thyroidectomy: the learning curve. Eur Surg Res 41:33–36CrossRefPubMed
21.
Zurück zum Zitat Lombardi CP, Raffaelli M, Modesti C, Boscherini M, Bellantone R (2004) Video-assisted thyroidectomy under local anaesthesia. Am J Surg 187:515–518CrossRefPubMed Lombardi CP, Raffaelli M, Modesti C, Boscherini M, Bellantone R (2004) Video-assisted thyroidectomy under local anaesthesia. Am J Surg 187:515–518CrossRefPubMed
22.
Zurück zum Zitat Lombardi CP, Raffaelli M, Princi P, Lulli P, Rossi ED, Fadda G et al (2005) Safety of video-assisted thyroidectomy versus conventional surgery. Head Neck 27:58–64CrossRefPubMed Lombardi CP, Raffaelli M, Princi P, Lulli P, Rossi ED, Fadda G et al (2005) Safety of video-assisted thyroidectomy versus conventional surgery. Head Neck 27:58–64CrossRefPubMed
23.
Zurück zum Zitat Bellantone R, Lombardi CP, Raffaelli M, Alesina PF, De Crea C, Traini E et al (2003) Video-assisted thyroidectomy for papillary thyroid carcinoma. Surg Endosc 17:1604–1608CrossRefPubMed Bellantone R, Lombardi CP, Raffaelli M, Alesina PF, De Crea C, Traini E et al (2003) Video-assisted thyroidectomy for papillary thyroid carcinoma. Surg Endosc 17:1604–1608CrossRefPubMed
24.
Zurück zum Zitat Lombardi CP, Raffaelli M, de Crea C, Princi P, Castaldi P, Spaventa A, Salvatori M, Bellantone R (2007) Report on 8 years of experience with video-assisted thyroidectomy for papillary thyroid carcinoma. Surgery 142:944–951CrossRefPubMed Lombardi CP, Raffaelli M, de Crea C, Princi P, Castaldi P, Spaventa A, Salvatori M, Bellantone R (2007) Report on 8 years of experience with video-assisted thyroidectomy for papillary thyroid carcinoma. Surgery 142:944–951CrossRefPubMed
25.
Zurück zum Zitat Miccoli P, Elisei R, Materazzi G, Capezzone M, Galleri D, Pacini F et al (2002) Minimally invasive video-assisted thyroidectomy for papillary carcinoma: a prospective study of its completeness. Surgery 132:1070–1074CrossRefPubMed Miccoli P, Elisei R, Materazzi G, Capezzone M, Galleri D, Pacini F et al (2002) Minimally invasive video-assisted thyroidectomy for papillary carcinoma: a prospective study of its completeness. Surgery 132:1070–1074CrossRefPubMed
27.
Zurück zum Zitat Bellantone R, Lombardi CP, Boscherini M, Ferrante A, Raffaelli M, Rubino F et al (1998) Prognostic factors in differentiated thyroid carcinoma: a multivariate analysis of 234 consecutive patients. J Surg Oncol 68:237–241CrossRefPubMed Bellantone R, Lombardi CP, Boscherini M, Ferrante A, Raffaelli M, Rubino F et al (1998) Prognostic factors in differentiated thyroid carcinoma: a multivariate analysis of 234 consecutive patients. J Surg Oncol 68:237–241CrossRefPubMed
28.
Zurück zum Zitat Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, Alesina PF, Princi P (2002) Central neck lymph node removal during minimally invasive video-assisted thyroidectomy for thyroid carcinoma: a feasible and safe procedure. J Laparoendosc Adv Surg Tech A 12:181–185CrossRefPubMed Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, Alesina PF, Princi P (2002) Central neck lymph node removal during minimally invasive video-assisted thyroidectomy for thyroid carcinoma: a feasible and safe procedure. J Laparoendosc Adv Surg Tech A 12:181–185CrossRefPubMed
29.
Zurück zum Zitat Lombardi CP, Raffaelli M, De Crea C et al (2012) Video-assisted versus conventional total thyroidectomy and central compartment neck dissection for papillary thyroid carcinoma. World J Surg 36:1225–1230CrossRefPubMed Lombardi CP, Raffaelli M, De Crea C et al (2012) Video-assisted versus conventional total thyroidectomy and central compartment neck dissection for papillary thyroid carcinoma. World J Surg 36:1225–1230CrossRefPubMed
30.
Zurück zum Zitat Lombardi CP, Raffaelli M, Princi P, De Crea C, Bellantone R (2007) Minimally invasive video-assisted functional lateral neck dissection for metastatic papillary thyroid carcinoma. Am J Surg 193:114–118CrossRefPubMed Lombardi CP, Raffaelli M, Princi P, De Crea C, Bellantone R (2007) Minimally invasive video-assisted functional lateral neck dissection for metastatic papillary thyroid carcinoma. Am J Surg 193:114–118CrossRefPubMed
31.
Zurück zum Zitat Bellantone R, Lombardi CP, Raffaelli M (2004) Tiroidectomia video-assistita. Trattato di Tecniche Chirurgiche, Chirurgia Generale, EMC. Elsevier Italia, p 46 Bellantone R, Lombardi CP, Raffaelli M (2004) Tiroidectomia video-assistita. Trattato di Tecniche Chirurgiche, Chirurgia Generale, EMC. Elsevier Italia, p 46
32.
Zurück zum Zitat Berti P, Materazzi G, Galleri D et al (2004) Video-assisted thyroidectomy for Graves’ disease: report of a preliminary experience. Surg Endosc 18:1208–1210CrossRefPubMed Berti P, Materazzi G, Galleri D et al (2004) Video-assisted thyroidectomy for Graves’ disease: report of a preliminary experience. Surg Endosc 18:1208–1210CrossRefPubMed
33.
Zurück zum Zitat Dralle H, Gimm O, Simon D, Frank-Raue K, Gortz G, Niederle B et al (1998) Prophylactic thyroidectomy in 75 children and adolescents with hereditary medullary thyroid carcinoma: German and Austrian experience. World J Surg 22:744–751CrossRefPubMed Dralle H, Gimm O, Simon D, Frank-Raue K, Gortz G, Niederle B et al (1998) Prophylactic thyroidectomy in 75 children and adolescents with hereditary medullary thyroid carcinoma: German and Austrian experience. World J Surg 22:744–751CrossRefPubMed
34.
Zurück zum Zitat Miccoli P, Berti P, Raffaelli M, Materazzi G, Conte M, Galleri D (2002) Impact of harmonic scalpel on operative time during video-assisted thyroidectomy. Surg Endosc 16:663–666CrossRefPubMed Miccoli P, Berti P, Raffaelli M, Materazzi G, Conte M, Galleri D (2002) Impact of harmonic scalpel on operative time during video-assisted thyroidectomy. Surg Endosc 16:663–666CrossRefPubMed
35.
Zurück zum Zitat Lombardi CP, Raffaelli M, De Crea C, D’Amore A, Bellantone R (2009) Video-assisted thyroidectomy: lessons learned after more than one decade. Acta Otorhinolaryngol Ital 29:317–320PubMedPubMedCentral Lombardi CP, Raffaelli M, De Crea C, D’Amore A, Bellantone R (2009) Video-assisted thyroidectomy: lessons learned after more than one decade. Acta Otorhinolaryngol Ital 29:317–320PubMedPubMedCentral
36.
Zurück zum Zitat Lombardi CP, Raffaelli M, D’Alatri L, De Crea C, Marchese MR, Maccora D, Paludetti G, Bellantone R (2008) Video-assisted thyroidectomy significantly reduces the risk of early post-thyroidectomy voice and swallowing symptoms. World J Surg 32:693–700CrossRefPubMed Lombardi CP, Raffaelli M, D’Alatri L, De Crea C, Marchese MR, Maccora D, Paludetti G, Bellantone R (2008) Video-assisted thyroidectomy significantly reduces the risk of early post-thyroidectomy voice and swallowing symptoms. World J Surg 32:693–700CrossRefPubMed
37.
Zurück zum Zitat Byrd JK, Nguyen SA, Ketcham A, Hornig J, Gillespie MB, Lentsch E (2010) Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: a cost-effective analysis. Otolaryngol Head Neck Surg 143:789–794CrossRefPubMed Byrd JK, Nguyen SA, Ketcham A, Hornig J, Gillespie MB, Lentsch E (2010) Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: a cost-effective analysis. Otolaryngol Head Neck Surg 143:789–794CrossRefPubMed
38.
Zurück zum Zitat Duh QY (1997) Surgical approach to primary hyperparathyroidism (bilateral approach). In: Clark OH, Duh QY (eds) Textbook of endocrine surgery. WB Saunders, Philadelphia Duh QY (1997) Surgical approach to primary hyperparathyroidism (bilateral approach). In: Clark OH, Duh QY (eds) Textbook of endocrine surgery. WB Saunders, Philadelphia
39.
Zurück zum Zitat Mazzeo S, Caramella D, Lencioni R et al (1996) Comparison among sonography, double-tracer subtraction scintigraphy, and double phase scintigraphy in the detection of parathyroid lesions. AJR 166:1465–1470CrossRefPubMed Mazzeo S, Caramella D, Lencioni R et al (1996) Comparison among sonography, double-tracer subtraction scintigraphy, and double phase scintigraphy in the detection of parathyroid lesions. AJR 166:1465–1470CrossRefPubMed
40.
Zurück zum Zitat Irvin GL, Carneiro DM (1999) Rapid parathyroid hormone assay guided exploration. Op Tech Gen Surg 1:18–27CrossRef Irvin GL, Carneiro DM (1999) Rapid parathyroid hormone assay guided exploration. Op Tech Gen Surg 1:18–27CrossRef
41.
Zurück zum Zitat Palazzo FF, Delbridge LW (2004) Minimal-access/minimally invasive parathyroidectomy for primary hyperparathyroidism. Surg Clin N Am 84:717–734CrossRefPubMed Palazzo FF, Delbridge LW (2004) Minimal-access/minimally invasive parathyroidectomy for primary hyperparathyroidism. Surg Clin N Am 84:717–734CrossRefPubMed
42.
Zurück zum Zitat Lombardi CP, Raffaelli M, Traini E et al (2008) Advantages of a video-assisted approach to parathyroidectomy. ORL J Otorhinolaryngol Relat Spec 70:313–318CrossRefPubMed Lombardi CP, Raffaelli M, Traini E et al (2008) Advantages of a video-assisted approach to parathyroidectomy. ORL J Otorhinolaryngol Relat Spec 70:313–318CrossRefPubMed
43.
Zurück zum Zitat Mourad M, Ngongang C, Saab N et al (2001) Video-assisted neck exploration for primary and secondary hyperparathyroidism. Surg Endosc 15:1112–1115CrossRefPubMed Mourad M, Ngongang C, Saab N et al (2001) Video-assisted neck exploration for primary and secondary hyperparathyroidism. Surg Endosc 15:1112–1115CrossRefPubMed
44.
Zurück zum Zitat Hallfeldt KK, Trupka A, Gallwas J et al (2001) Minimally invasive video-assisted parathyroidectomy. Surg Endosc 15:409–412CrossRefPubMed Hallfeldt KK, Trupka A, Gallwas J et al (2001) Minimally invasive video-assisted parathyroidectomy. Surg Endosc 15:409–412CrossRefPubMed
45.
Zurück zum Zitat Barczyński M, Cichoń S, Konturek A et al (2006) Minimally invasive video-assisted parathyroidectomy versus open minimally invasive parathyroidectomy for a solitary parathyroid adenoma: a prospective, randomized, blinded trial. World J Surg 30:721–731CrossRefPubMed Barczyński M, Cichoń S, Konturek A et al (2006) Minimally invasive video-assisted parathyroidectomy versus open minimally invasive parathyroidectomy for a solitary parathyroid adenoma: a prospective, randomized, blinded trial. World J Surg 30:721–731CrossRefPubMed
46.
Zurück zum Zitat Miccoli P, Bendinelli C, Berti P et al (1999) Video-assisted versus conventional parathyroidectomy in primary hyperparathyroidism: a prospective randomized study. Surgery 126:1117–1122CrossRefPubMed Miccoli P, Bendinelli C, Berti P et al (1999) Video-assisted versus conventional parathyroidectomy in primary hyperparathyroidism: a prospective randomized study. Surgery 126:1117–1122CrossRefPubMed
47.
Zurück zum Zitat Lombardi CP, Raffaelli M, Traini E et al (2009) Video-assisted minimally invasive parathyroidectomy: benefits and long-term results. World J Surg 33:2266–2281CrossRefPubMed Lombardi CP, Raffaelli M, Traini E et al (2009) Video-assisted minimally invasive parathyroidectomy: benefits and long-term results. World J Surg 33:2266–2281CrossRefPubMed
48.
Zurück zum Zitat De Crea C, Raffaelli M, Traini E, Giustozzi E, Oragano L, Bellantone R, Lombardi CP (2013) Is there a role for video-assisted parathyroidectomy in regions with high prevalence of goitre? Acta Otorhinolaryngol Ital 33(6):388–392PubMed De Crea C, Raffaelli M, Traini E, Giustozzi E, Oragano L, Bellantone R, Lombardi CP (2013) Is there a role for video-assisted parathyroidectomy in regions with high prevalence of goitre? Acta Otorhinolaryngol Ital 33(6):388–392PubMed
49.
Zurück zum Zitat Miccoli P, Minuto M, Cetani F et al (2005) Familial parathyroid hyperplasia: is there a place for minimally invasive surgery? Description of the first treated case. J Endocrinol Invest 28:942–943CrossRefPubMed Miccoli P, Minuto M, Cetani F et al (2005) Familial parathyroid hyperplasia: is there a place for minimally invasive surgery? Description of the first treated case. J Endocrinol Invest 28:942–943CrossRefPubMed
50.
Zurück zum Zitat Bellantone R, Lombardi CP, Raffaelli M (2005) Encyclopédie Médico-Chirurgicale, Tecniche Chirurgiche—Chirurgia Generale. Paris, Francia: Elsevier SAS, Paratiroidectomia mini-invasiva video-assistita. 46–465-A, p 1–18 Bellantone R, Lombardi CP, Raffaelli M (2005) Encyclopédie Médico-Chirurgicale, Tecniche Chirurgiche—Chirurgia Generale. Paris, Francia: Elsevier SAS, Paratiroidectomia mini-invasiva video-assistita. 46–465-A, p 1–18
51.
Zurück zum Zitat Miccoli P, Berti P, Materazzi G et al (2004) Results of video-assisted parathyroidectomy: single institution’s six-year experience. World J Surg 28:1216–1218CrossRefPubMed Miccoli P, Berti P, Materazzi G et al (2004) Results of video-assisted parathyroidectomy: single institution’s six-year experience. World J Surg 28:1216–1218CrossRefPubMed
Metadaten
Titel
Video-assisted endocrine neck surgery: state of the art
verfasst von
Luca Sessa
Celestino Pio Lombardi
Carmela De Crea
Marco Raffaelli
Rocco Bellantone
Publikationsdatum
15.06.2017
Verlag
Springer Milan
Erschienen in
Updates in Surgery / Ausgabe 2/2017
Print ISSN: 2038-131X
Elektronische ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-017-0467-3

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