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Minimally Invasive and Robotic Thyroid and Parathyroid Surgery pp 161–167Cite as

Parathyroid Surgery 2020

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Abstract

The history of parathyroid surgery clearly illustrates how surgical pioneers, along with technical advances, have changed the surgical paradigm for primary hyperparathyroidism. Surgeons initially removed one gland, only to find that a bilateral neck exploration was needed to rule in or out multi-gland disease to ensure long-term cure. More recently, with the development of better imaging and intraoperative PTH, surgeons have moved towards a more focused approach to this disease. However, these technological advances and adjuncts are only tools, and not substitutes, for diligent surgical exploration. It is paramount that the next generation of endocrine surgeons has within their armamentarium an ability to safely and effectively perform a bilateral four-gland cervical exploration and to understand how to properly select patients for a less invasive approach.

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Authors and Affiliations

  1. Department of Surgery, North Tower, 1403 29th Street NW, T2N 2T9, Calgary, Alberta, Canada

    Janice L. Pasieka MD, FRCSC, FACS

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  1. Janice L. Pasieka MD, FRCSC, FACS
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Correspondence to Janice L. Pasieka MD, FRCSC, FACS .

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Editors and Affiliations

  1. Department of Otolaryngology - Head and Neck Surgery, Georgia Regents University, Augusta, Georgia, USA

    David J. Terris

  2. Department of Otolaryngology - Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA

    Michael C. Singer

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Pasieka, J.L. (2014). Parathyroid Surgery 2020. In: Terris, D., Singer, M. (eds) Minimally Invasive and Robotic Thyroid and Parathyroid Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9011-1_20

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  • DOI: https://doi.org/10.1007/978-1-4614-9011-1_20

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