Article

Trends in surgical techniques.

Department of General Surgery, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK.
Nuclear Medicine Communications (impact factor: 1.4). 03/2003; 24(2):115-9. DOI:10.1097/01.mnm.0000057323.59072.a9 pp.115-9
Source: PubMed

ABSTRACT SUMMARY At present surgery is the only effective treatment for primary hyperparathyroidism. For many years bilateral cervical exploration has been the preferred surgical approach and has been limited to those patients with symptoms or complications of the disease. Recent improvement in preoperative localization techniques, combined with the feasibility of intraoperative parathyroid hormone measurement, has increased the opportunity to perform minimally invasive or unilateral surgery. There are now several minimally invasive procedures, including unilateral neck exploration, video assisted and complete endoscopic techniques. This review provides an overview of the different surgical approaches currently used for the management of primary hyperparathyroidism and discusses the indications, advantages and disadvantages of each technique.

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Keywords

complete endoscopic techniques
 
complications
 
different surgical approaches
 
feasibility
 
minimally invasive
 
minimally invasive procedures
 
patients
 
preoperative localization techniques
 
primary hyperparathyroidism
 
Recent improvement
 
symptoms
 
unilateral neck exploration
 
unilateral surgery
 
years bilateral cervical exploration