title: Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma.
abstract: BACKGROUND
  Minimally invasive parathyroidectomy is the procedure of choice for primary hyperparathyroidism due to parathyroid adenoma. Adequate perioperative adenoma localization is essential for this operation. We describe a technique using ultrasound to perform minimally invasive parathyroidectomy.
  
  
  METHODS
  99mTc sestamibi scanning was performed on patients with primary hyperparathyroidism to localize parathyroid adenomas; no intraoperative gamma probe was used. We also performed pre- and intraoperative ultrasound scanning to localize these adenomas.
  
  
  RESULTS
  All patients underwent successful localization and removal of their parathyroid adenomas. At follow-up, all patients were well, with calcium within normal limits.
  
  
  CONCLUSIONS
  The use of intraoperative ultrasound facilitates minimally invasive parathyroidectomy and may obviate the need for intraoperative 99mTc sestamibi scanning.
authors.affiliation: Department of Surgery, Mater Misericordiae Hospital, University College Dublin, Dublin 7, Ireland. malcolmkell@eircom.net
authors.forename: M R
authors.initials: MR
authors.lastname: Kell
authors.forename: K J
authors.initials: KJ
authors.lastname: Sweeney
authors.forename: C J
authors.initials: CJ
authors.lastname: Moran
authors.forename: F
authors.initials: F
authors.lastname: Flanagan
authors.forename: M J
authors.initials: MJ
authors.lastname: Kerin
authors.forename: T F
authors.initials: TF
authors.lastname: Gorey
mesh_terms: D000236:Adenoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures; D010282:Parathyroid Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D015642:Radiology, Interventional; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D018084:Ultrasonography, Interventional
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi