Surgery for sporadic primary hyperparathyroidism: controversies and evidence-based approach

Introduction Sporadic primary hyperparathyroidism is due to single adenoma in over 90–95% of instances. Careful medical history and precise preoperative identification of the enlarged gland by parathyroid Tc-mibi scintigraphy and neck ultrasound allow selecting patients for minimally invasive parath...

Full description

Saved in:
Bibliographic Details
Published in:Langenbeck's archives of surgery 2008-05, Vol.393 (3), p.239-244
Main Authors: Sitges-Serra, Antonio, Rosa, Prieto, Valero, Mónica, Membrilla, Estela, Sancho, Joan J.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
Current Concepts in Endocrine Surgery
Evidence-Based Medicine
General Surgery
Humans
Hyperparathyroidism, Primary - diagnosis
Hyperparathyroidism, Primary - surgery
Intraoperative Period
Medicine
Medicine & Public Health
Minimally Invasive Surgical Procedures
Parathyroid Hormone - blood
Parathyroid Neoplasms - diagnosis
Parathyroid Neoplasms - surgery
Parathyroidectomy
Patient Selection
Sensitivity and Specificity
Surgery, Computer-Assisted
Technetium Tc 99m Sestamibi
Thoracic Surgery
Traumatic Surgery
Ultrasonography
Vascular Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction Sporadic primary hyperparathyroidism is due to single adenoma in over 90–95% of instances. Careful medical history and precise preoperative identification of the enlarged gland by parathyroid Tc-mibi scintigraphy and neck ultrasound allow selecting patients for minimally invasive parathyroidectomy, a focused intervention with minimal skin opening and tissue dissection. Small (
ISSN:1435-2443
1435-2451
DOI:10.1007/s00423-008-0283-9