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Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma

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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.

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References

  1. RE Goldstein D Billheimer WH Martin K Richards (2003) ArticleTitleSestamibi scanning and minimally invasive radioguided parathyroidectomy without intraoperative parathyroid hormone measurement. Ann Surg 237 722–731 Occurrence Handle10.1097/00000658-200305000-00015 Occurrence Handle12724639

    Article  PubMed  Google Scholar 

  2. MR Kell NJ Aherne C Coffey CP Power WO Kirwan HP Redmond (2002) ArticleTitleEmergency surgeon-performed hepatobiliary ultrasonography. Br J Surg 89 1402–1404 Occurrence Handle10.1046/j.1365-2168.2002.02297.x Occurrence Handle1:STN:280:DC%2BD38njt1answ%3D%3D Occurrence Handle12390381

    Article  CAS  PubMed  Google Scholar 

  3. VL Light CR McHenry D Jarjoura DB Sodee SD Miron (1996) ArticleTitleProspective comparison of dual-phase technetium-99m-sestamibi scintigraphy and high resolution ultrasonography in the evaluation of abnormal parathyroid glands. Am Surg 62 562–567 Occurrence Handle1:STN:280:BymB2Mnot1Q%3D Occurrence Handle8651552

    CAS  PubMed  Google Scholar 

  4. G McGreal DC Winter S Sookhai D Evoy M Ryan GC O’Sullivan HP Redmond (2001) ArticleTitleMinimally, invasive, radioguided surgery for pHPT. Ann Surg Oncol 8 856–860 Occurrence Handle10.1245/aso.2001.8.10.856 Occurrence Handle1:STN:280:DC%2BD38%2FkvVymsQ%3D%3D Occurrence Handle11776503

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Mater Misericordiae Hospital, University College Dublin, Dublin 7, Ireland

    M. R. Kell, K. J. Sweeney, C. J. Moran, M. J. Kerin & T. F. Gorey

  2. Department of Radiology, Mater Misericordiae Hospital, University College Dublin, Dublin 7, Ireland

    F. Flanagan

Authors
  1. M. R. Kell
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  2. K. J. Sweeney
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  3. C. J. Moran
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  4. F. Flanagan
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  5. M. J. Kerin
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  6. T. F. Gorey
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Corresponding author

Correspondence to M. R. Kell.

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Kell, M.R., Sweeney, K.J., Moran, C.J. et al. Minimally invasive parathyroidectomy with operative ultrasound localization of the adenoma. Surg Endosc 18, 1097–1098 (2004). https://doi.org/10.1007/s00464-003-9228-0

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  • DOI: https://doi.org/10.1007/s00464-003-9228-0

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