Gamma probe radioguided parathyroid forearm surgery in recurrent hyperparathyroidism

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Radioguided surgery in primary hyperparathyroidism.

UNLABELLED Surgical neck exploration is usually made in primary hyperparathyroidism (PHPT). Localization of the adenoma or detection of hyperplasia may reduce the operation period and limit the extent of the surgery. In this study the effficacy of preoperative Tc-99m MIBI scintigraphy and intraoperative gamma probe was evaluated. MATERIALS AND METHODS Six patients with PHPT had preoperative T...

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Guidelines for radioguided parathyroid surgery.

OBJECTIVE To confirm or refute the notion that only parathyroid adenomas have radioactivity higher than 20% of background. DESIGN Retrospective analysis of a prospective patient data set. SETTING Tertiary care referral center. PATIENTS Forty-six patients (9 men and 37 women; mean +/- SD age, 53.7 +/- 12.1 years) underwent thyroid and parathyroid surgery between December 2005 and December ...

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Re-explorative Parathyroid Surgery for Persistent and Recurrent Primary Hyperparathyroidism

Primary hyperparathyroidism (HPT) is treated by parathyroidectomy. Excision of abnormal parathyroid tissue is curative in the majority of cases. Postoperative persistent or recurrent HPT has been reported up to 30%. The purpose of this study was to evaluate the role of imaging techniques and determine the efficacy of reexplorative surgery. A total of 306 patients underwent parathyroidectomy bet...

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Preoperative localization and radioguided parathyroid surgery.

Clinical or subclinical hyperparathyroidism is one of the most common endocrine disorders. Excessive secretion of parathyroid hormone is most frequently caused by an adenoma of >or=1 parathyroid gland. Unsuccessful surgery with persistent hyperparathyroidism, due to inadequate preoperative or intraoperative localization, may be observed in about 10% of patients. The conventional surgical approa...

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Feasibility of portable gamma camera imaging in intraoperative radioguided parathyroid adenoma identification

Novel surgical applications include radioguided procedures in parathyroidectomy operations. In order to investigate the feasibility of usage of the portable gamma camera in parathyroidectomy operations; intraoperative radioguided parathyroidectomy operation was performed in three hyperparathyroidism patients with inconclusive preoperative parathyroid scintigraphy results. Intraoperative portabl...

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ژورنال

عنوان ژورنال: Annals of The Royal College of Surgeons of England

سال: 2009

ISSN: 0035-8843,1478-7083

DOI: 10.1308/147870809x401047