From four-parathyroid gland exploration to a minimally invasive technique. Minimally invasive parathyroidectomy as a current approach to surgery for primary hyperparathyroidism

07.02.2017

Jarek Kobiela, Dariusz Łaski, Aneta Stróżyk, Monika Proczko-Markuszewska, Tomasz Stefaniak, Krzysztof Sworczak, Andrzej J. Łachiński, Zbigniew Śledziński

Abstract
Complete surgical resection of hyperfunctioning parathyriod tissue is essential for the treatment of primary hyperparathyroidism. Du- ring recent years, minimally invasive surgery has been successfully applied in neck exploration, because of significant developments of guidance by intraoperative scans, the use of quick, intraoperative PTH assay, and also preoperative imaging procedures such as high-re- solution ultrasonography and sestamibi scintigraphy. The results of operations which are performed with minimally invasive techniques are comparable to those of conventional surgery, and provide advantages with regard to cosmetic result, length of hospitalisation, and reduced post-operative pain. (Endokrynol Pol 2014; 65 (3): 240–249)

Key words: primary hyperparathyroidism; conventional neck exploration; minimally invasive parthyroidectomy

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