A systematic review of 23 studies involving 2,470 adults with primary hyperparathyroidism demonstrated the feasibility of minimally invasive parathyroidectomy under local anesthesia. Operative times averaged 43.86 minutes with a 95-97% success rate. Patients experienced a mean hospitalization of just 16.83 hours and relatively few complications. Preoperative and postoperative parathyroid hormone and calcium levels showed significant improvement, confirming this approach as a safe and efficient treatment method for well-localized cases.
Systematic Review by Palmieri L, Lucchini R, Angelucci D and Avenia N in Minerva Surg