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Arthur J. Ross III, MD
La Crosse, Wis

Arch Surg. 2002;137:970.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Recently we have seen some remarkable changes in the way that we approach the patient who has primary hyperparathyroidism. Although not all concur, many surgeons now believe that as a result of several technological advances, minimally invasive parathyroidectomy is the preferred approach for such patients.¹ These advances include preoperative localization with technetium Tc 99m sestamibi scanning, high-resolution ultrasonography, the availability of intraoperative parathyroid hormone level monitoring, and intraoperative nuclear mapping via the use of the handheld gamma-detection device. Interestingly, all were relatively unheard of (or declared not useful) just a decade ago!

Inabnet, a strong proponent of the minimally invasive parathyroidectomy, argues that use of the gamma-detecting probe for intraoperative radioguidance is unnecessary during initial surgery for primary hyperparathyroidism. Inabet et al do, however, suggest that radioguidance is helpful in the reoperative neck and in cases of persistent or recurrent hyperparathyroidism.

It is ironic that . . . [Full Text of this Article]

RELATED ARTICLE

Radioguidance Is Not Necessary During Parathyroidectomy
William B. Inabnet III, Chun K. Kim, Richard S. Haber, and Richard A. Lopchinsky
Arch Surg. 2002;137(8):967-970.
ABSTRACT | FULL TEXT