Minimal-access/minimally invasive parathyroidectomy for primary hyperparathyroidism.
نویسندگان
چکیده
Minimal-access or minimally invasive parathyroidectomy is replacing a bilateral neck exploration as the surgical approach of choice in primary hyperparathyroidism (pHPT). When a parathyroid adenoma is localized preoperatively, ideally with sestamibi combined with ultrasonography, results equivalent to a bilateral neck exploration can be achieved through an incision less than 2.5 cm. Minimal-access techniques offer the advantage of cure under local anesthesia with a smaller incision and no overnight stay. Intraoperative measurement of parathyroid hormone (PTH) may be a valuable adjunct to confirmation of parathyroid adenoma removal, but currently appears to add little when preoperative localization is optimized. Controlled studies and long-term follow-up will be required to establish the true value of parathyroid minimal-access surgery.
منابع مشابه
Minimally invasive surgery for primary hyperparathyroidism: a systematic review.
BACKGROUND The aim of the present paper was to systematically review the literature regarding the safety and efficacy of minimally invasive parathyroidectomy techniques in patients with primary hyperparathyroidism. Studies using unilateral or endoscopic exploration following imaging were compared with bilateral open neck exploration. METHODS Studies on minimally invasive parathyroid surgery w...
متن کاملIs minimally invasive parathyroid surgery an option for patients with gestational primary hyperparathyroidism?
BACKGROUND Gestational primary hyperparathyroidism is associated with serious maternal and neonatal complications, which require prompt surgical treatment. Minimally invasive parathyroidectomy reduces pain, improves cosmesis and may achieve cure rates comparable to traditional open bilateral neck exploration. We report the clinical course of a woman with newly diagnosed gestational primary hype...
متن کاملWorldwide trends in the surgical treatment of primary hyperparathyroidism in the era of minimally invasive parathyroidectomy.
HYPOTHESIS Minimally invasive surgery for primary hyperparathyroidism has become an accepted part of endocrine surgical practice worldwide. DESIGN Survey of members of the International Association of Endocrine Surgeons. SETTING Clinical practice of endocrine surgeons worldwide. MAIN OUTCOME MEASURES Numbers of parathyroid procedures performed, types of minimally invasive procedures under...
متن کاملMinimally invasive parathyroidectomy by unilateral neck dissection--experience in a regional hospital in Hong Kong.
OBJECTIVE To compare the efficacy and safety of minimally invasive open parathyroidectomy with localised unilateral neck dissection to the conventional method of bilateral neck exploration and parathyroidectomy as a surgical treatment for primary hyperparathyroidism. PATIENTS AND METHODS Eleven patients diagnosed with primary hyperparathyroidism at Queen Elizabeth Hospital from 1 January 2002...
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ورودعنوان ژورنال:
- The Surgical clinics of North America
دوره 84 3 شماره
صفحات -
تاریخ انتشار 2004