World Journal of Surgery

, Volume 28, Issue 12, pp 1212–1215 | Cite as

Intraoperative Parathyroid Hormone Monitoring

  • William B. Inabnet


The principles of minimally invasive parathyroidectomy include the successful preoperative localization of a solitary adenoma, a targeted operative approach that does not disturb the normal parathyroid glands, and intraoperative confirmation of excision of all hypersecreting parathyroid tissue. By providing real-time feedback to the surgical team, the rapid PTH assay allows surgeons to assess the completeness of parathyroid resection without visualizing all the parathyroid glands. Intraoperative PTH monitoring facilitates the use of local anesthesia, decreases the duration of surgery, and allows ambulatory surgery in most patients. This article reviews current recommendations and controversies surrounding the use of intraoperative PTH monitoring during parathyroidectomy.


Parathyroid Gland Primary Hyperparathyroidism Parathyroid Tissue Bilateral Neck Exploration Solitary Adenoma 
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Copyright information

© Société Internationale de Chirurgie 2004

Authors and Affiliations

  • William B. Inabnet
    • 1
  1. 1.Department of Surgery, Section of Endocrine Surgery, College of Physicians and Surgeons of Columbia UniversityNew York Presbyterian HospitalNew YorkUSA

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