Surg Clin North Am. 2004 Jun;84(3):717-34.

Minimal-access/minimally invasive parathyroidectomy for primary hyperparathyroidism.

Source

Department of Surgery, Royal North Shore Hospital, Sydney 2065, NSW, Australia.

Abstract

Minimal-access or minimally invasive parathyroidectomy is replacing a bilateral neck exploration as the surgical approach of choice in primary hyperparathyroidism (pHPT). When a parathyroid adenoma is localized preoperatively, ideally with sestamibi combined with ultrasonography, results equivalent to a bilateral neck exploration can be achieved through an incision less than 2.5 cm. Minimal-access techniques offer the advantage of cure under local anesthesia with a smaller incision and no overnight stay. Intraoperative measurement of parathyroid hormone (PTH) may be a valuable adjunct to confirmation of parathyroid adenoma removal, but currently appears to add little when preoperative localization is optimized. Controlled studies and long-term follow-up will be required to establish the true value of parathyroid minimal-access surgery.

PMID:: 15145230; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms, Substances

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Review

MeSH Terms

Substances

Parathyroid Hormone

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PARATHYROID HORMONE - HSDB

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Cited by 3 PubMed Central articles

Ectopic secretion of parathyroid hormone in a neuroendocrine tumor: a case report and review of the literature. [Int J Clin Exp Med. 2011]
Ectopic secretion of parathyroid hormone in a neuroendocrine tumor: a case report and review of the literature.
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Hyperparathyroidism revisited - Old wine in new bottles! [Indian J Endocrinol Metab. 2011]
Hyperparathyroidism revisited - Old wine in new bottles!
Arcot R, Moorthy SN, Rao S. Indian J Endocrinol Metab. 2011 Jul; 15(3):194-7.
Intraoperative PTH Assay during Minimally Invasive Parathyroidectomy May Be Helpful in the Detection of Double Adenomas and May Minimise the Risk of Recurrent Surgery. [Int J Endocrinol. 2010]
Intraoperative PTH Assay during Minimally Invasive Parathyroidectomy May Be Helpful in the Detection of Double Adenomas and May Minimise the Risk of Recurrent Surgery.
Ypsilantis E, Charfare H, Wassif WS. Int J Endocrinol. 2010; 2010:178671. Epub 2010 Dec 15.

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