Research Article

Results of a prospective strategy for focused Minimally Invasive Parathyroidectomy (MIP)

Rosyli Reveron-Thornton and Jeffrey Norton*

Published: 03 May, 2023 | Volume 7 - Issue 1 | Pages: 016-018

Neck exploration for primary HPT is the standard operation in which 4 parathyroid glands are identified and one abnormal parathyroid gland is removed. This is recommended for all patients with primary HPT. We hypothesized that most patients with primary HPT have a single abnormal parathyroid gland (adenoma) and parathyroid imaging studies will identify it and support a focused minimally invasive parathyroidectomy (MIP). This can be combined with ioPTH monitoring making bilateral exploration unnecessary. This paper reports a 93.4% success rate in 249 consecutive prospective patients with primary HPT over a 15-year period with a short operating time and few complications. The findings suggest that this alternate surgical MIP approach should be the procedure of choice for HPT patients.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001069 Cite this Article Read Full Article PDF


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