Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline

Journals

Article Types

Countries / Regions

Search Results (1)

Search Parameters:
Keywords = mini-invasive parathyroidectomy

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
9 pages, 911 KiB  
Article
Evolution of the Diagnosis and Treatment of Primary Hyperparathyroidism
by Enrico Battistella, Luca Pomba, Riccardo Toniato, Marta Burei, Michele Gregianin, Sara Watutantrige Fernando and Antonio Toniato
J. Clin. Med. 2023, 12(5), 2057; https://doi.org/10.3390/jcm12052057 - 6 Mar 2023
Cited by 3 | Viewed by 2557
Abstract
This study aims to present the evolution of our center’s approach to treating primary hyperparathyroidism (PHPT) from diagnosis to intraoperative interventions. We have also evaluated the intraoperative localization benefits of indocyanine green fluorescence angiography. This retrospective single-center study involved 296 patients who underwent [...] Read more.
This study aims to present the evolution of our center’s approach to treating primary hyperparathyroidism (PHPT) from diagnosis to intraoperative interventions. We have also evaluated the intraoperative localization benefits of indocyanine green fluorescence angiography. This retrospective single-center study involved 296 patients who underwent parathyroidectomy for PHPT between January 2010 and December 2022. The preoperative diagnostic procedure included neck ultrasonography in all patients, [99mTc]Tc-MIBI scintigraphy in 278 patients, and, in 20 doubtful cases, [18F] fluorocholine positron emission tomography (PET) computed tomography (CT) was performed. Intraoperative PTH was measured in all cases. Indocyanine green has been administered intravenously since 2020 to guide surgical navigation using a fluorescence imaging system. The development of high precision diagnostic tools that can localize an abnormal parathyroid gland in combination with intra-operative PTH assay (ioPTH) enables the surgical treatment of PHPT patients with focused approaches and excellent results that are stackable with bilateral neck exploration (98% of surgical success). Indocyanine green angiography has the potential to assist surgeons in identifying parathyroid glands rapidly and with minimal risk, especially when pre-operative localization has failed. When everything else fails, it is only an experienced surgeon who can resolve the situation. Full article
(This article belongs to the Section Endocrinology & Metabolism)
Show Figures

Figure 1

Back to TopTop