Minimal‐access parathyroid surgery using intraoperative parathyroid hormone assay

摘要: Objectives: Review the most current preoperative localization imaging techniques in patients with primary hyperparathyroidism and demonstrate their applicability to targeted tumor removal intraoperative parathyroid hormone (PTH) monitoring. Study Design: Retrospective review of 40 consecutive undergoing surgery PTH assay as principal determinant correction hyperparathyroid state. Details technology, cost analysis, comparison other management methods are discussed. Methods: The standard intact chemiluminescent (Nichols Diagnostics) modifications allow accelerated results discussed detail. time intervals between completion excision postremoval subsequent laboratory investigation present a practical therapeutic algorithm. Results: Forty were treated surgically satisfactory resolution disease In instances, surgical field was reduced pathology identified by localization, all became eucalcemic when this method employed. Approximately half eligible under local anesthesia. Conclusions: Intraoperative has added new dimension revision surgery. It is cost-effective accurate may reduce morbidity intervention procedures.