Evidence map›Paper›PMID 20694475›Full record

ArticleLangenbeck's archives of surgery2010

Totally endoscopic lateral parathyroidectomy: prospective evaluation of 200 patients. ESES 2010 Vienna presentation.

Thibaut Fouquet, Adeline Germain, Rasa Zarnegar, Marc Klein, Nicole De Talance, Jean Claude Mayer, Ahmet Ayav, Laurent Bresler, Laurent Brunaud

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Article
  5. Review
  6. Review
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  8. Review
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Minimally invasive parathyroidectomy.International journal of endocrinology · 2011
    Article
  14. Surgical endocrinology--update 2010.Langenbeck's archives of surgery · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thibaut FouquetDepartment of Digestive, Hepatobiliary, and Endocrine Surgery, CHU Nancy-Brabois (Hopital Adultes), University of Nancy, 11 allée du morvan, 54511 Vandoeuvre-les-Nancy, France.
Adeline Germain
Rasa Zarnegar
Marc Klein
Nicole De Talance
Jean Claude Mayer
Ahmet Ayav
Laurent Bresler
Laurent Brunaud

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral new minimally invasive techniques (mini-open, video-assisted, and endoscopic procedures) for parathyroidectomy have been described. However, totally endoscopic lateral approach parathyroidectomy (Henry technique) is not routinely performed.

methodsThis is a prospective study of 200 consecutive patients that underwent totally endoscopic lateral parathyroidectomy.

resultsTwo hundred of 387 patients (52%) with primary hyperparathyroidism were included. Fifty-six patients (28%) were converted to open parathyroidectomy. Causes for conversion were lack of intraoperative localization (11%), difficult dissection (10%), bleeding (4%), failure of normalization of IOPTH results (2%), and other causes (1%). Gland localization (areas 1 to 2 versus area 3) and CaPTHus score (<3 versus ≥3) were not associated with the risk of conversion. Mean postoperative follow-up was 13 months, and 196 patients (98%) were cured.

conclusionsTotally endoscopic lateral approach can be proposed in more than half of the patients with good immediate results. Conversion rate remains important and may explain low acceptance rate of this technique.

Indexed as

AdolescentAdultAgedAged, 80 and overChi-Square DistributionEndoscopyFemaleFollow-Up StudiesFranceHumansHyperparathyroidismLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresParathyroidectomy

Identifiers

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.