Focused approach to parathyroidectomy.
Minimally invasive parathyroidectomy is performed after preoperative parathyroid localization-usually with high-quality sestamibi scans and/or ultrasonography-often under cervical block anesthesia during which a limited exploration is performed. The rapid intraoperative parathyroid hormone assay is then employed to confirm an adequate resection and cure of primary hyperparathyroidism. This article discusses imaging, anesthesia, results, and the surgical management of patients undergoing minimally invasive parathyroidectomy.
Carling
Tobias
T
Department of Surgery, Yale University School of Medicine, 330 Cedar Street, FMB 102, Box 208062, New Haven, CT 06510, USA.
Udelsman
Robert
R
D000236:Adenoma / Q000097:blood / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D009333:Neck; D009407:Nerve Block; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000097:blood / Q000175:diagnosis / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011300:Preoperative Care
D010281:Parathyroid Hormone