Overview
Minimally invasive parathyroidectomy is a surgical procedure designed to treat hyperparathyroidism by removing the overactive parathyroid gland(s). Unlike traditional surgery, this approach involves smaller incisions and a more focused approach, which leads to faster recovery and less visible scarring. It is commonly performed when a single parathyroid gland is overproducing hormones that regulate calcium levels in the body. This focused surgery can be done with or without a scar at the Russell Center.
Procedure
During a minimally invasive parathyroidectomy, the surgeon usually makes a small incision in the neck to access the affected parathyroid gland. With the assistance of advanced imaging techniques and intraoperative monitoring, the surgeon carefully isolates and removes the overactive gland while preserving surrounding structures. The procedure is typically performed under general anesthesia and usually lasts about one or two hours for the entire surgery, but most of that time is spent in preparation. The actual length of the surgery can be much shorter than that depending on the specific patient and situation. This surgery can also be done under local anesthesia or twilight anesthesia. In patients who are motivated, it usually can be done without a visible incision.
Benefits and Risks
The primary benefit of minimally invasive parathyroidectomy is its targeted approach, which leads to shorter recovery times, smaller incisions, and minimal scarring compared to traditional surgery. Additionally, the success rate in resolving hyperparathyroidism is high. However, as with any surgical procedure, there are risks involved, including potential damage to surrounding structures such as the recurrent laryngeal nerve, which can affect vocal function, and the remaining parathyroid glands, which help regulate calcium levels. Your surgeon will review these risks in detail before the procedure.
While this focused surgery is performed with a scar in the neck in most centers around the country, Dr Russell is unique in also offering this surgery without a scar.
Recovery and Follow-Up
Recovery from minimally invasive parathyroidectomy is generally quick, with most individuals returning to normal activities within a few days. Mild discomfort and swelling at the incision site may occur but can be managed with prescribed pain medications. It is important to attend follow-up appointments to monitor calcium levels and ensure the success of the surgery.
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