Title: Minimally Invasive (Focused) Parathyroidectomy for Primary Hyperparathyroidism with Parathyroid adenoma

Authors: Dr N.R.Sajikumar, Dr Dimmy Harold, Dr Mathai Jolhf Koshy

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.189

Abstract

Approximately 85% of patients with primary hyperparathyroidism harbour a single adenoma. Thus, with accurate preoperative localization, targeted surgery using unilateral neck exploration under regional or local anaesthesia has been developed. Today, minimally invasive parathyroidectomy (MIP)1,2 is performed after preoperative parathyroid localization usually with high quality sestamibi scans, ultrasonography, MRI or four-dimensional computed tomography scans.

References

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2.      Agarwal G, Barraclough BH, Reeve TS, Delbridge LW. Minimally invasive parathyroidectomy using the “focused” lateral approach. II. Surgical technique. ANZ J Surg. 2002 Feb;72(2):147–51.

3.      Elaraj DM, Clark OH. Current status and treatment of primary hyperparathyroidism. perm  j.  2008 Winter. 12(1):32-7

4.      Intraoperative parathyroid hormone assay during focused parathyroidectomy BMC Surg 2013;13(36)

5.      Parathtroid adenoma: diagnosis and treat-ment. Cleveland Clinic.june 11.2012. 

Corresponding Author

Dr Dimmy Harold

Junior Resident, General Surgery

T.D.M.C, Alappuzha