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Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma

  • M. R. Kell
  • K. J. Sweeney
  • C. J. Moran
  • F. Flanagan
  • M. J. Kerin
  • T. F. Gorey
Original article

Abstract

Background

Minimally invasive parathyroidectomy is the procedure of choice for primary hyperparathyroidism due to parathyroid adenoma. Adequate perioperative adenoma localization is essential for this operation. We describe a technique using ultrasound to perform minimally invasive parathyroidectomy.

Methods

99mTc sestamibi scanning was performed on patients with primary hyperparathyroidism to localize parathyroid adenomas; no intraoperative gamma probe was used. We also performed pre- and intraoperative ultrasound scanning to localize these adenomas.

Results

All patients underwent successful localization and removal of their parathyroid adenomas. At follow-up, all patients were well, with calcium within normal limits.

Conclusion

The use of intraoperative ultrasound facilitates minimally invasive parathyroidectomy and may obviate the need for intraoperative 99mTc sestamibi scanning.

Keywords

Parathyroid adenoma Minimally invasive surgery Ultrasound Primary hyperparathoidiom 

References

  1. 1.
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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • M. R. Kell
    • 1
  • K. J. Sweeney
    • 1
  • C. J. Moran
    • 1
  • F. Flanagan
    • 2
  • M. J. Kerin
    • 1
  • T. F. Gorey
    • 1
  1. 1.Department of SurgeryMater Misericordiae Hospital, University College DublinIreland
  2. 2.Department of RadiologyMater Misericordiae Hospital, University College DublinIreland

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