Focused Parathyroid Surgery: Minimally Invasive Parathyroidectomy via a Mini-incision

  • Orhan Yalçın
  • Semra Günay


The most common cause of hypercalcemia is primary hyperparathyroidism (PHPT). Solitary adenoma is detected in 85% of cases, and it is possible to treat these cases with minimally invasive parathyroidectomy (MIP).

We present a 53-year-old female patient of PHPT diagnosed with asymptomatic hypercalcemia and single adenoma, who underwent open-focused MIP via a mini-incision.

In the event of a single adenomatous lesion, diagnosis is possible with the ultrasonography and Tc-99m-sestamibi scintigraphy. If necessary biochemical studies (parathormone washout, intraoperative parathormone monitoring (IPM)) and additional imaging (intraoperative USG) or radioguided approach can be used, which offers lower morbidity rates and similar success rates when compared to conventional methods, and this procedure yields good outcomes.

There are multiple MIP methods, and our clinic uses open mini-incision focused surgical technique. In this report, diagnosis and treatment methods of the disease are discussed.

The most critical factor regarding surgical success and treatment is the surgeon. If the appropriate surgical technique is selected according to the patient’s condition, those surgeons experienced in endocrine surgery can safely apply open MIP.


Hypercalcemia Hyperparathyroidism Minimally invasive surgery Focused surgery Parathormone washout Intraoperative US Endocrine surgeon 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Orhan Yalçın
    • 1
  • Semra Günay
    • 1
  1. 1.University of Health Sciences (SBÜ), Okmeydanı Training and Research Hospital, Division of Breast and Endocrin Surgery, OkmeydanıIstanbulTurkey

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