title: Endoscopic surgery of the parathyroid glands: methods and principles.
abstract: Targeted endoscopic parathyroidectomy without gas insufflation is a relatively non-invasive means of discovering and resecting parathyroid adenomas in sporadic primary hyperparathyroidism. This standardized technique depends on the quality of the preoperative imaging: cervical ultrasound and sestamibi scintigraphy, and can be optimized by preoperative insertion of an ultrasound-guided "harpoon" and rapid peroperative parathyroid hormone analysis. Failure rates range between 1.7% and 4%.
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHU Nord, 42055 Saint-Étienne cedex 2, France. jean.michel.prades@univ-st-etienne.fr
authors.forename: J-M
authors.initials: JM
authors.lastname: Prades
authors.forename: M
authors.initials: M
authors.lastname: Gavid
authors.forename: A T
authors.initials: AT
authors.lastname: Timoshenko
authors.forename: C
authors.initials: C
authors.lastname: Richard
authors.forename: C
authors.initials: C
authors.lastname: Martin
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D004724:Endoscopy; D005240:Feasibility Studies; D006801:Humans; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D018084:Ultrasonography, Interventional
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi