16 April 2024: Clinical Research
Comparative Analysis of Transoral Endoscopic Parathyroidectomy Vestibular Approach and Focused Open Surgery for Primary Hyperparathyroidism Treatment: A Single Center Experience
Mehmet Zafer Sabuncuoglu 1ABCDEF , Isa Sozen 1AF , İsmail Zihni 1BE* , Girayhan Celik 1BE , Nesime Inci Eryilmaz 1B , Fatma Nur Dal 2C , Demet Gunduz 3EF , Ozer Makay 4FDOI: 10.12659/MSM.944128
Med Sci Monit 2024; 30:e944128
Table 1 Comparison of demographic and clinical outcomes.
| Categories | Open surgeryn (%) | TOEPVAn (%) | P | |
|---|---|---|---|---|
| Gender | Female | 31 (60.8) | 20 (27.5) | 0.109 |
| Male | 6 (11.8) | 0 (0.0) | ||
| Preop diagnosis | Parathyroid adenoma | 35 (68.6) | 20 (100.0) | 0.674 |
| Parathyroid hyperplasia | 2 (2.0) | 0 (0.0) | ||
| Postop diagnosis | Benign | 9 (10.2) | 2 (4.1) | 0.592 |
| Parathyroid adenoma | 25 (49.0) | 18 (24.5) | ||
| Parathyroid hyperplasia | 3 (6.1) | 0 (0.0) | ||
| Preop scintigraphy | Yes | 37 (45.1) | 20 (21.6) | 0.267 |
| Localization | Right inferior | 18 (35.3) | 12 (17.6) | 0.841 |
| Left inferior | 13 (25.5) | 7 (9.8) | ||
| 3 Parathyroidectomy | 3 (3.9) | 0 (0.0) | ||
| Left inferior superior | 1 (2.0) | 1 (0.0) | ||
| Left right inferior | 1 (2.0) | 0 (0.0) | ||
| Left inferior right superior | 1 (2.0) | 0 (0.0) | ||
| Hemovac | None | 19 (37.3) | 19 (25.5) | 0.006 |
| Yes | 18 (35.3) | 1 (2.0) | ||
| Complication | None | 35 (66.7) | 13 (14.7) | 0.001 |
| Transient hypocalcemia | 2 (3.9) | 7 (13.7) |