Treatment of Primary Hyperparathyroidism.
Endocr Pract. 2011 Feb 16;:1-23
Authors: Augustine MM, Bravo PE, Zeiger MA
Objective: In this review, surgical treatment options for parathyroidectomy are discussed with a focus on recent refinements in minimally invasive techniques, endoscopic-, video-, and robot-assisted parathyroidectomy.Methods: Review of relevant surgical treatment options for parathyroidectomy.Results: Parathyroidectomy is the standard therapy for patients with primary hyperparathyroidism. Advancements in imaging, including 99m-Tc sestamibi-SPECT and ultrasound, have improved preoperative localization while intraoperative PTH measurement provides a rapid test to confirm operative success. These adjuncts have enabled surgeons to perform an operation that is both safe and minimally invasive.Conclusion: the minimally invasive approach to parathryroidectomy provides comparable cure rates to conventional bilateral neck exploration with reduced operative time and improved cosmetic results. The durability, safety, and success of these procedures make them valuable options in the current and future management of patients with primary hyperparathyroidism.
PMID: 21324817 [PubMed - as supplied by publisher]