Minimally invasive radioguided parathyroidectomy using intraoperative sestamibi localization.
This article presents the authors' technique of minimally invasive radio guided parathyroidectomy (MIRP) with intra-operative use of the hand-held gamma probe for primary HPT caused by a solitary adenoma. It points out how this approach varies from that of others who perform MIRP. It also illustrates ways to troubleshoot common problems with the technique in inexperienced hands. The goal is to present an understandable and systematic approach to MIRP for surgeons who do not currently use this technique. This article is not intended to replace formalized training, which is essential to master the technique.
Lee
Wha-Joon
WJ
Ear, Nose Throat and Plastic Surgery Associates PA, 201 Lakemont Avenue, Winter Park, FL 32764, USA.
Ruda
James
J
Stack
Brendan C
BC
D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery; D015902:Gamma Cameras; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D016343:Monitoring, Intraoperative; D010280:Parathyroid Glands / Q000000981:diagnostic imaging*; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D016105:Parathyroidectomy / Q000379:methods; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi