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The Value of Intraoperative Parathyroid Hormone Monitoring in Primary Hyperparathyroidism Cases That Are Localized with Two Imaging Studies

  • Jennifer H. Kuo
  • Wen T. Shen
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

Minimally invasive parathyroidectomy has become a preferred approach for primary hyperparathyroidism in patients with a single parathyroid adenoma. Preoperative localization studies and intraoperative parathyroid hormone (ioPTH) are important adjuncts, with surgeons often relying on ioPTH to confirm cure. The utility of ioPTH in patients with two concordant preoperative localization studies that accurately predict single parathyroid adenomas, remains controversial. This chapter explores the evidence for the use of ioPTH is this setting.

Keywords

Minimally invasive parathyroidectomy Concordant preoperative studies IOPTH 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of GI/Endocrine SurgeryColumbia UniversityNew YorkUSA
  2. 2.Department of SurgeryUniversity of California, San Francisco/Mt. Zion Medical CenterSan FranciscoUSA

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