Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma.
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.
Kell
M R
MR
Department of Surgery, Mater Misericordiae Hospital, University College Dublin, Dublin 7, Ireland. malcolmkell@eircom.net
Sweeney
K J
KJ
Moran
C J
CJ
Flanagan
F
F
Kerin
M J
MJ
Gorey
T F
TF
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
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi