case_images: PMC3461774_01
case_images: Schematic representation of GVAT; the surgical field is created by retractors (a) and surgery is performed by the view from the telescope (b)
case_images: JSTCR-4-27-g001.jpg
case_images: PMC3461774_01_JSTCR-4-27-g001.jpg
case_images: F1
case_images: A tent-like operative space was thus created and maintained by means of external retraction using small right-angled retractors and no gas insufflation was utilized [Figure 1].
case_images: The superior pedicle seen under magnification (a) and secured with sutures (b)
case_images: JSTCR-4-27-g002.jpg
case_images: PMC3461774_01_JSTCR-4-27-g002.jpg
case_images: F2
case_images: The dissection was directed to the superior pedicle which was secured and divided between 3-0 absorbable sutures [Figure 2].
case_images: (a) Endoscopic view of dissection in the lateral compartment. (b) The endoscope provides a magnified view of the parathyroids (white arrows)
case_images: JSTCR-4-27-g003.jpg
case_images: PMC3461774_01_JSTCR-4-27-g003.jpg
case_images: F3
case_images: The lateral compartment was then exposed and the blunt dissection was carried out separating the loose areolar tissue until the superior and inferior parathyroids could be easily identified [Figure 3].
case_images: The recurrent laryngeal nerve (white arrows) is seen during dissection (a) and after removal of the gland (b)
case_images: JSTCR-4-27-g004.jpg
case_images: PMC3461774_01_JSTCR-4-27-g004.jpg
case_images: F4
case_images: The recurrent laryngeal nerve was also easily identified at this stage and protected [Figure 4].