Recent advances have allowed the performance of parathyroidectomy as an endoscopic procedure. Carbon dioxide (CO2) insufflation can be used to create a working space in the anterior neck, but it has been associated with a number of complications. We have devised a skin-lifting method to overcome these problems.
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University 3-1-1, Maidashi, Fukuoka 812-8582, Japan. okido@surg1.med.kyushu-u.ac.jp, mok@cmail.plala.or.jp
