Minimally Invasive Parathyroidectomy Cure Rates and Complications

Minimally Invasive Parathyroidectomy has a very high cure rate, but the exact numbers depend on your surgeon’s experience. In fact, there is no other type of surgery that depends so much on the surgeon’s knowledge and level of experience as is seen with parathyroid surgery. If you have a very experienced surgeon, cure rates following a minimally invasive parathyroidectomy are expected to be around 95%. At the CENTER for Advanced Parathyroid Surgery, our team has a cure rate of 97%.

Why Choose Dr. Larian For Your Parathyroidectomy?

Dr. Babak Larian is deeply committed to the treatment of individuals affected by parathyroid disorders and performs every parathyroid surgery himself. Highly respected by peers and patients alike, The CENTER for Advanced Parathyroid Surgery is the top facility for hyperparathyroidism surgery in the United States. We use the most innovative and minimally invasive techniques because Dr. Larian has proven their incredibly high success rates and low risk of complications. Furthermore, during parathyroidectomy surgery, we use a variety of techniques to ensure that all parathyroid glands are assessed and that the surgery is successful.

As the Director of the CENTER for Advanced Parathyroid Surgery in Los Angeles, Dr. Babak Larian is a distinguished and experienced board-certified head and neck surgeon. He is internationally recognized for his proficiency and advancement of minimally invasive procedures to cure parathyroid disease. Dr. Larian completed a six-year residency program in Head and Neck Surgery at UCLA, where he had intense training in treatment of head & neck tumors. This training focused on diagnosing and managing complex tumors and cancers in the neck, the complications caused by these tumors, and repairing these complications. This experience allowed him to have a deep and extensive understanding of not only the anatomy of the neck, but also consequences of disease in this very delicate area of the body. During this extensive training, he developed a passion for treating parathyroid disorders. Dr. Larian also saw how many parathyroid patients were initially misdiagnosed or undiagnosed because there was a lack of true parathyroid experts available to these patients. As a result, he founded the CENTER for Advanced Parathyroid Surgery so patients had more access to the best treatment for their disease.

Whereas a great majority of parathyroid tumors are easily identified and removed, some tumors can be located anywhere in the neck, and a certain percentage of patients have disease in multiple glands. As a result of this potential complexity, parathyroid surgery requires immense experience, patience, and thoroughness. THERE IS NO ONE TECHNIQUE THAT WORKS FOR EVERY PATIENT. Recognizing this, Dr. Larian has great understanding of the importance of finding the abnormal parathyroid(s) and identifying the best technique for each patient individually. Watch the animated parathyroid surgery video below to learn more about Dr. Larian’s approach to minimally invasive parathyroidectomy.

Potential Parathyroidectomy Complications

There are two fairly uncommon but serious potential complications associated with minimally invasive parathyroidectomy; damage to the recurrent laryngeal nerve, and accidental removal of all four parathyroid glands.

Injury to the recurrent laryngeal nerve, which is the nerve to the voice box, can make your voice hoarse. Occasionally, the nerve is stretched or bruised, which leaves the voice hoarse for a several weeks or months before returning to normal. However, in rare cases, the nerve is damaged during the procedure. This usually means the patient’s voice will remain hoarse (unless it’s treated with voice therapy and/or a procedure called vocal cord augmentation). For standard parathyroid surgery, the risk of this happening is around 2-4%. When experienced parathyroid surgeons performs Minimally Invasive Parathyroidectomy, the nerve injury risk is less than 1%.

The second potential complication of MIP involves the accidental removal or damage of all four parathyroid glands, which causes permanent hypoparathyroidism. This complication is rather rare, but can be very damaging.  It occurs in cases where more than one gland is abnormal and all four glands need to be identified and either biopsied or removed.  In these cases, rarely the biopsied glands may not function properly or if all four glands are removed (to treat 4 gland hyperplasia) the half a gland that is inserted into the muscle to take over the job can occasionally not function.  Luckily, the MIP has an incredibly low and almost impossible theoretical risk of injuring all four parathyroid glands, because the surgery is limited usually to one side and the glands on the other side are safe.

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