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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
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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.
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.
Keywords
primary hyperparathyroidism; conventional neck exploration; minimally invasive parthyroidectomy
About this articleTitle
From four-parathyroid gland exploration to a minimally invasive technique. Minimally invasive parathyroidectomy as a current approach in surgery for primary hyperparathyroidism
Journal
Issue
Article type
Review paper
Pages
240-249
Published online
2014-06-27
Page views
1654
Article views/downloads
2913
DOI
10.5603/EP.2014.0033
Bibliographic record
Endokrynol Pol 2014;65(3):240-249.
Keywords
primary hyperparathyroidism
conventional neck exploration
minimally invasive parthyroidectomy
Authors
Jarek Kobiela
Dariusz Łaski
Aneta Stróżyk
Monika Proczko-Markuszewska
Tomasz Stefaniak
Krzysztof Sworczak
Andrzej J. Łachiński
Zbigniew Śledziński
