A new technique to simplify the minimally invasive parathyroidectomy: Ultrasound-assisted guided wire localization for solitary parathyroid adenomas.
To investigate the benefits of ultrasound-assisted guided wire localization in MIP for selected cases.



In this prospective, nonrandomised study, we included 36 patients with solitary parathyroid adenomas diagnosed preoperatively by 99m Tc sesta MIBI scintigraphy and/or neck ultrasonography. An ultrasound-guided wire was placed in the solitary parathyroid adenoma preoperatively. MIPs were performed under local anaesthesia plus sedation. After the excision, the parathyroidectomy was confirmed with postoperative ultrasonography.



There were 36 patients included in our study. The mean age was 54.89±11.28 years, and 30 patients were females (83.3%). Preoperative PTH and calcium (Ca) levels were 269.5 pg/mL (83.5-5,000 pg/mL) and 12.2 mg/dL (11.1-20 mg/dL), respectively. Postoperative serum PTH and Ca levels were 42.04±26.65 pg/mL and 8.95±0.74 mg/dL, respectively. The mean operation time was 21.69±6.4 minutes and the average hospitalisation time was 18 hours (range: 10-72 hours).



Ultrasound-assisted guided wire localization may be useful in selected MIP cases. The MIP advantages include higher success rates and being easy to learn and practise.
Departments of General Surgery, Faculty of Medicine, Turkey.
Faruk
F
Ozkul
Departments of General Surgery, Faculty of Medicine, Turkey.
Muhammed Kasim
MK
Arik
Departments of Endocrinology and Metabolism, Faculty of Medicine, Turkey.
Mustafa
M
Eroglu
Departments of General Surgery, Yakindogu University, Northern Cyprus,Turkey.
Umut
U
Faydaci
Anesthesia and Reanimation, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Huseyin
H
Toman
Departments of General Surgery, Faculty of Medicine, Turkey.
Sukru
S
Tas
Departments of Endocrinology and Metabolism, Faculty of Medicine, Turkey.
Kubilay
K
Ukinc
Departments of Endocrinology and Metabolism, Faculty of Medicine, Turkey.
Mehmet
M
Asik
D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010281:Parathyroid Hormone; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy; D011446:Prospective Studies; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
D010281:Parathyroid Hormone; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
parathyroid neoplasms, Minimally invasive surgical procedures, Parathyroidectomy, Monitoring, Intraoperative, Ultrasonography. 