Search for: [Abstract = "iterion 93.7%, 92.3%, 99.5%, 47.1%, 93.6%. Ad.2\). Of 455 patients with primary hyperparathyroidism and a solitary parathyroid adenoma on preoperative imaging, 151 underwent MIVAP and 304 had OMIP. The following outcomes were favourable for MIVAP vs. OMIP\: lower pain intensity during 24 hours postoperatively \(p<0.001\), lower analgesia request rate \(p<0.001\), lower analgesics consumption \(p<0.001\), higher recurrent laryngeal nerve identification rate \(p < 0.001\), shorter scar length \(p<0.001\), better cosmetic satisfaction at 1 month \(p=0.013\) and at 6 months \(p=0.024\) after surgery. However, MIVAP vs. OMIP had longer duration of surgery \(p<0.001\), and was more expensive \(p<0.001\). No differences were noted in the conversion rate, length of hospital stay, and morbidity. Ad.3\). Indications for bilateral neck exploration were\: negative preoperative imaging in 65 \(41.9%\) patients, concomitant goitre necessitating surgical removal in 51 \(32.9%\) patients, MEN 1 syndrome in 17 \(11.0%\) patients, lithium treatment in 12 \(7.7%\) patients, lacking consent for minimally invasive parathyroidectomy in 5 \(3.2%\) patients, and MEN 2A syndrome in 5 \(3.2%\) patients. The extent of parathyroidectomy was a solitary parathyroid adenoma removal in 97 \(62,6%\) patients, subtotal parathyroidectomy in 41 \(26.4%\) patients, and double\-parathyroid adenoma removal in 17 \(11,0%\) patients. Use of intraoperative iP"]

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