Vol 65, No 3 (2014)
Review paper
Published online: 2014-06-27

open access

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

Jarek Kobiela, Dariusz Łaski, Aneta Stróżyk, Monika Proczko-Markuszewska, Tomasz Stefaniak, Krzysztof Sworczak, Andrzej J. Łachiński, Zbigniew Śledziński
DOI: 10.5603/EP.2014.0033
Endokrynol Pol 2014;65(3):240-249.

Abstract

Complete surgical resection of hyperfunctioning parathyriod tissue is essential for the treatment of primary hyperparathyroidism. During 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 resolution 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.