Focused Approach to Parathyroidectomy
Tobias Carling
Department of Surgery, Yale University School of Medicine, 330 Cedar Street, FMB 102, Box 208062, 06510 New Haven, CT, USA
Search for more papers by this authorCorresponding Author
Robert Udelsman
- [email protected]
- | Fax: +1-203-7372116
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 authorTobias Carling
Department of Surgery, Yale University School of Medicine, 330 Cedar Street, FMB 102, Box 208062, 06510 New Haven, CT, USA
Search for more papers by this authorCorresponding Author
Robert Udelsman
- [email protected]
- | Fax: +1-203-7372116
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 authorAbstract
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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