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Surgical Endoscopy
Published in: Surgical Endoscopy 7/2004

01-07-2004 | Original article

Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma

Authors: M. R. Kell, K. J. Sweeney, C. J. Moran, F. Flanagan, M. J. Kerin, T. F. Gorey

Published in: Surgical Endoscopy | Issue 7/2004

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Abstract

Background

Minimally invasive parathyroidectomy is the procedure of choice for primary hyperparathyroidism due to parathyroid adenoma. Adequate perioperative adenoma localization is essential for this operation. We describe a technique using ultrasound to perform minimally invasive parathyroidectomy.

Methods

99mTc sestamibi scanning was performed on patients with primary hyperparathyroidism to localize parathyroid adenomas; no intraoperative gamma probe was used. We also performed pre- and intraoperative ultrasound scanning to localize these adenomas.

Results

All patients underwent successful localization and removal of their parathyroid adenomas. At follow-up, all patients were well, with calcium within normal limits.

Conclusion

The use of intraoperative ultrasound facilitates minimally invasive parathyroidectomy and may obviate the need for intraoperative 99mTc sestamibi scanning.
Literature
1.
Goldstein, RE, Billheimer, D, Martin, WH, Richards, K 2003Sestamibi scanning and minimally invasive radioguided parathyroidectomy without intraoperative parathyroid hormone measurement.Ann Surg237722731CrossRefPubMed
2.
Kell, MR, Aherne, NJ, Coffey, C, Power, CP, Kirwan, WO, Redmond, HP 2002Emergency surgeon-performed hepatobiliary ultrasonography.Br J Surg8914021404CrossRefPubMed
3.
Light, VL, McHenry, CR, Jarjoura, D, Sodee, DB, Miron, SD 1996Prospective comparison of dual-phase technetium-99m-sestamibi scintigraphy and high resolution ultrasonography in the evaluation of abnormal parathyroid glands.Am Surg62562567PubMed
4.
McGreal, G, Winter, DC, Sookhai, S, Evoy, D, Ryan, M, O’Sullivan, GC, Redmond, HP 2001Minimally, invasive, radioguided surgery for pHPT.Ann Surg Oncol8856860CrossRefPubMed
Metadata
Title
Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma
Authors
M. R. Kell
K. J. Sweeney
C. J. Moran
F. Flanagan
M. J. Kerin
T. F. Gorey
Publication date
01-07-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 7/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9228-0

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