Minimally Invasive Video-Assisted Parathyroidectomy with Intraoperative Nerve Stimulation

Vasileios Drakopoulos, MD, PhD, FACS1, Nikolaos Roukounakis, MD, PhD1, Athanasios Bakalis, MD1, Sotirios Voulgaris, MD1, Sotiria Tsogka, MD2, Eleni Plesia, MD, PhD2, Spiros Drakopoulos, MD, PhD1. 1First Department of Surgery and Transplant Unit, Evangelismos General Hospital, Athens, Greece, 2Department of Anaesthesiology, Evangelismos General Hospital, Athens, (Greece)

Introduction. Intraoperative nerve stimulation and neuromonitoring is a commonly accepted practice during endocrine surgical procedures in the neck.

Minimally invasive thyroidectomy and parathyroidectomy and especially video-assisted parathyroidectomy are safely and successfully performed in selected patients with appropriate indications.

Material/Method. We present a video demonstrating our technique in a case of a Minimally Invasive Video-Assisted Parathyroidectomy (MIVAP), with intraoperative recurrent laryngeal nerve stimulation.

We demonstrate the necessity of modification of the ordinary technique in order to get a positive identification of the nerve.

Conclusion. A modification of the standard technique of intraoperative nerve stimulation is mandatory during MIVAP.

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