Journal article

Outcomes for minimally invasive parathyroidectomy: widening inclusion criteria based on preoperative imaging results

Daniel J Reilly, Grace L Chew, Jazmin Eckhaus, Nicolas R Smoll, Stephen G Farrell

ANZ JOURNAL OF SURGERY | WILEY-BLACKWELL | Published : 2016

Abstract

BACKGROUND: Primary hyperparathyroidism is caused by a single adenoma in at least 80% of cases. Minimally invasive parathyroidectomy (MIP) has overtaken bilateral neck exploration as the gold standard for treatment in cases with adequate preoperative localization. There is evidence that, following careful review of preoperative imaging by the surgeon, increasing numbers of patients can successfully undergo MIP. METHODS: We conducted a retrospective review of 225 consecutive cases performed by a single surgeon. Outcomes for patients with disease reported as localized by radiologists and nuclear medicine physicians using sestamibi and ultrasound were compared with patients with negative or ind..

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University of Melbourne Researchers