[Surgical treatment of primary hyperparathyroidism: how high do we place the crossbar?].
Minimally-invasive parathyroidectomy has improved to a level that has made it the operation of first choice in the treatment of primary hyperparathyroidism. A gamma probe should be used when the radio-guided technique is performed and quick intra-operative parathormone testing should be used with all other minimally-invasive techniques. This not only serves as an instrument for quality control but also improves the expertise necessary to consistently obtain good results. Although minimally-invasive parathyroidectomy is now regarded as the preferred procedure, it has not completely replaced conventional neck exploration, which was once the standard operation. When used in combination--minimally-invasive parathyroidectomy when possible and conventional neck exploration when necessary--virtually every patient with primary hyperparathyroidism can look forward to a successful surgical outcome.
van Vroonhoven
Th J M V
TJ
vanvroon@euronet.nl
D015902:Gamma Cameras; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods* / Q000592:standards; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy / Q000379:methods* / Q000592:standards; D011877:Radionuclide Imaging; D016896:Treatment Outcome
D010281:Parathyroid Hormone