title: From four-parathyroid gland exploration to a minimally invasive technique. Minimally invasive parathyroidectomy as a current approach in surgery for primary hyperparathyroidism.
abstract: Complete surgical resection of hyperfunctioning parathyriod tissue is essential for the treatment of primary hyperparathyroidism. During recent years, minimally invasive surgery has been successfully applied in neck exploration, because of significant developments of guidance by intraoperative scans, the use of quick, intraoperative PTH assay, and also preoperative imaging procedures such as high resolution ultrasonography and sestamibi scintigraphy. The results of operations which are performed with minimally invasive techniques are comparable to those of conventional surgery, and provide advantages with regard to cosmetic result, length of hospitalisation, and reduced post-operative pain.
authors: Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk - Invasive Medicine Centre, Gdansk, Poland. kobiela@gumed.edu.pl.
authors: Jarek
authors: J
authors: Kobiela
authors: Dariusz
authors: D
authors: Łaski
authors: Aneta
authors: A
authors: Stróżyk
authors: Monika
authors: M
authors: Proczko-Markuszewska
authors: Tomasz
authors: T
authors: Stefaniak
authors: Krzysztof
authors: K
authors: Sworczak
authors: Andrzej J
authors: AJ
authors: Łachiński
authors: Zbigniew
authors: Z
authors: Śledziński
mesh_terms: D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009333:Neck / Q000601:surgery*; D010280:Parathyroid Glands / Q000601:surgery*; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011877:Radionuclide Imaging; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography