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Focused Approach to Parathyroidectomy

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Abstract

Minimally invasive parathyroidectomy is performed after preoperative parathyroid localization—usually with high-quality sestamibi scans and/or ultrasonography—often under cervical block anesthesia during which a limited exploration is performed. The rapid intraoperative parathyroid hormone assay is then employed to confirm an adequate resection and cure of primary hyperparathyroidism. This article discusses imaging, anesthesia, results, and the surgical management of patients undergoing minimally invasive parathyroidectomy.

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Authors and Affiliations

  1. Department of Surgery, Yale University School of Medicine, 330 Cedar Street, FMB 102, Box 208062, New Haven, CT, 06510, USA

    Tobias Carling & Robert Udelsman

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  1. Tobias Carling
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  2. Robert Udelsman
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Correspondence to Robert Udelsman.

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Carling, T., Udelsman, R. Focused Approach to Parathyroidectomy. World J Surg 32, 1512–1517 (2008). https://doi.org/10.1007/s00268-008-9567-z

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