Evidence map›Paper›PMID 41495519›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Video-assisted neck surgery (VANS) for primary hyperparathyroidism.

Ryota Iinuma, Tatsuhiko Yamada, Takuro Tsunoki, Rina Kato, Masashi Kuroki, Hiromasa Ishihara, Hiroshi Okuda, Hirofumi Shibata, Takenori Ogawa

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ryota IinumaDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Tatsuhiko YamadaDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Takuro TsunokiDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Rina KatoDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Masashi KurokiDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Hiromasa IshiharaDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Hiroshi OkudaDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Hirofumi ShibataDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Takenori OgawaDepartment of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, Japan. ogawa.takenori.d2@f.gifu-u.ac.jp.ORCID http://orcid.org/0000-0003-1556-7328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVideo-assisted neck surgery (VANS) is a minimally invasive surgical technique developed in Japan that offers excellent cosmetic outcomes. This study aims to describe our standardized VANS procedure for primary hyperparathyroidism (PHPT) and to evaluate its safety and surgical outcomes.

methodsWe retrospectively reviewed six patients with PHPT who underwent parathyroidectomy using the VANS approach at our institution between January 2022 and December 2024. All patients were diagnosed preoperatively by an endocrinologist. Tumor localization was assessed using computed tomography, ultrasonography, and Tc-99m methoxy-isobutyl-isonitrile scintigraphy. Surgical techniques, operative outcomes, and perioperative complications were evaluated.

resultsVANS was successfully performed in all six patients, including one upper and five lower parathyroid gland lesions. Tumor size ranged from 7 to 23 mm (median, 18 mm). Operative time ranged from 60 to 177 minutes (median, 116.5 minutes), with minimal blood loss. Intraoperative ultrasonography was useful for tumor identification in selected cases. Complete adenoma resection was achieved in all patients without complications or conversion to open surgery.

conclusionVANS is a safe, effective, and cosmetically favorable surgical option for selected patients with PHPT. With appropriate patient selection and standardized techniques, this approach can be reproducibly performed in centers experienced in endoscopic neck surgery.

Indexed as

AdenomaHyperparathyroidism, PrimaryParathyroidectomyParathyroid NeoplasmsVideo-Assisted SurgeryAdultAgedFemaleHumansMaleMiddle AgedNeckOperative TimeRetrospective StudiesTreatment OutcomeCosmetic outcomeMinimally invasive surgeryParathyroidectomyPrimary hyperparathyroidismVideo-assisted neck surgery

Identifiers

PMID41495519

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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.