Abstract
This chapter describes the indications and operative techniques for parathyroidectomy. Preoperative preparation and postoperative management are discussed for primary, secondary, and tertiary hyperparathyroidism. Surgical anatomy of the parathyroid glands and its surrounding structures is reviewed. Operative technique, pitfalls, and complications are discussed for minimally invasive parathyroidectomy, four-gland exploration, and subtotal and reoperative parathyroidectomy. The techniques of parathyroid biopsy and reimplantation are detailed. Possible complications such as bleeding, hypoparathyroidism, and their management are discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akerstrom G, Malmaeus J, Bergstrom R. Surgical anatomy of human parathyroid glands. Surgery. 1984;95(1):14–21.
Bilezikian JP, Khan AA, Potts Jr JT. Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the third international workshop. J Clin Endocrinol Metab. 2009;94(2):335–9.
Edis AJ, Levitt MD. Supernumerary parathyroid glands: implications for the surgical treatment of secondary hyperparathyroidism. World J Surg. 1987;11(3):398–401.
National Kidney Foundation. KDOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease. 2009. http://www.kidney.org/professionals/KDOQI/guidelines_bone/index.htm.
Messa P, Alfieri C, Brezzi B. Clinical utilization of cinacalcet in hypercalcemic conditions. Expert Opin Drug Metab Toxicol. 2011;7(4):517–28.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Sugg, S.L., Gurll, N.J. (2014). Parathyroidectomy. In: Scott-Conner, C. (eds) Chassin's Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1393-6_121
Download citation
DOI: https://doi.org/10.1007/978-1-4614-1393-6_121
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-1392-9
Online ISBN: 978-1-4614-1393-6
eBook Packages: MedicineMedicine (R0)