Erschienen in:
01.05.2013 | Editorial
Minimally invasive parathyroid surgery
verfasst von:
Randall P. Owen, Carl E. Silver, Ashok R. Shaha, Phillip K. Pellitteri, Alfio Ferlito
Erschienen in:
European Archives of Oto-Rhino-Laryngology
|
Ausgabe 6/2013
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Excerpt
The standard surgical management of primary hyperparathyroidism has been challenged during the past two decades by the development of improved imaging techniques, the availability of rapid intraoperative PTH (parathyroid hormone) assay, and a trend toward minimally invasive surgical procedures. Although there has been an increasing incidence of disease, and much debate on indications, including the avoidance of neurocognitive effects [
1], this editorial will focus on the nature of minimally invasive parathyroid surgery and the imaging which makes this possible. A recent article by McVeigh et al. [
2] presents their series of 248 parathyroid procedures, of which 129 were performed in a minimally invasive fashion, performed over a period of 10 years. The changes in their technique over this period of time are reflective of many of the trends in parathyroid surgery worldwide toward a minimally invasive approach, and may be used as an example of these trends, although the study does not elaborate on the details of the follow-up and long-term results in their patients. …
