Volume 32, Issue 7 1450 pp. 1512-1517
Article

Focused Approach to Parathyroidectomy

Tobias Carling

Tobias Carling

Department of Surgery, Yale University School of Medicine, 330 Cedar Street, FMB 102, Box 208062, 06510 New Haven, CT, USA

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Robert Udelsman

Corresponding Author

Robert Udelsman

Department of Surgery, Yale University School of Medicine, 330 Cedar Street, FMB 102, Box 208062, 06510 New Haven, CT, USA

Fax: +1-203-7372116, [email protected]Search for more papers by this author
First published: 05 April 2008
Citations: 39

Abstract

Minimally invasive parathyroidectomy is performed after preoperative parathyroid localization—usually with high-quality sestamibi scans and/or ultrasonography—often under cervical block anesthesia during which a limited exploration is performed. The rapid intraoperative parathyroid hormone assay is then employed to confirm an adequate resection and cure of primary hyperparathyroidism. This article discusses imaging, anesthesia, results, and the surgical management of patients undergoing minimally invasive parathyroidectomy.

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