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Minimally Invasive Parathyroidectomy

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Tips and Tricks in Endocrine Surgery

Abstract

The operative management of primary hyperparathyroidism has changed significantly since the first parathyroidectomy performed almost a century ago (Delbridge and Palazzo 2007). The standard procedure has evolved over decades into the bilateral neck exploration (BNE) which involves the careful identification of all parathyroid glands. Abnormal glands are removed and the normal glands are left in situ without biopsy.

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Abbreviations

BNE:

Bilateral neck exploration

FAA:

Focused anterior approach

FLA:

Focused lateral approach

GA:

General anesthesia

IOPTH:

Intraoperative PTH

LA:

Local anesthesia

MEN:

Multiple endocrine neoplasia

MGD:

Multiple gland disease

MIP:

Minimally invasive parathyroidectomy

MIVAT:

Video-assisted parathyroidectomy

NIH:

National Institute of Health

PET:

Positron emission tomography

pHPT:

Primary hyperparathyroidism

PTH:

Parathyroid hormone

SCM:

Sternocleidomastoid muscle

SPECT:

Single-photon emission computed tomography

US:

Ultrasound

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Author information

Authors and Affiliations

  1. Department of Thyroid and Endocrine Surgery, Imperial College NHS Trust, Hammersmith Campus, London, UK

    Ioannis Christakis & Fausto Palazzo

Authors
  1. Ioannis Christakis
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  2. Fausto Palazzo
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Corresponding author

Correspondence to Fausto Palazzo .

Editor information

Editors and Affiliations

  1. ENT Department, Queen Elizabeth Hospital, Birmingham, United Kingdom

    John C. Watkinson

  2. Department of Endocrine Surgery, University Hospital of Wales, Cardiff, United Kingdom

    David M. Scott-Coombes

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© 2014 Springer-Verlag London

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Christakis, I., Palazzo, F. (2014). Minimally Invasive Parathyroidectomy. In: Watkinson, J., Scott-Coombes, D. (eds) Tips and Tricks in Endocrine Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-2146-6_34

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  • DOI: https://doi.org/10.1007/978-1-4471-2146-6_34

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  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-982-6

  • Online ISBN: 978-1-4471-2146-6

  • eBook Packages: MedicineMedicine (R0)

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