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- Title
Radio-guided Minimally Invasive Parathyroidectomy: A Descriptive Report of the Experience from Tertiary Center in Bangalore.
- Authors
Vidya, Bhushan; Chauhan, Shubhra; Chandrasekhar, Naveen Hedne; Sunil, H. V.; Pillai, Vijay; Shetty, Vivek; Vijayaraghavan, R. L.; Kuriakose, Moni Abraham; Kannan, Subramanian
- Abstract
Overview: Minimally invasive parathyroidectomy (MIP) is an accepted surgical procedure for parathyroid adenomas. In the patients with parathyroid adenoma localized by dual phase 99mTc- Sestamibi scan, a focused approach utilizing the gamma probe intra-operatively helps in ensuring complete resection and avoiding exploration of the other parathyroid glands. Objective: The aim of the study was to evaluate the performance of radio-guided MIP for parathyroid adenomas detected by dual phase 99mTc-MIBI preoperatively, without intra-operative parathyroid hormone (ioPTH) monitoring for patients who had evidence of single-gland disease. Patients and Methods: A retrospective dataset of 30 patients diagnosed with solitary parathyroid adenoma operated between 2009 and 2014 were reviewed. All of the patients underwent radio-guided MIP and were followed up for at least 6 months post-operatively. The biochemical parameters (serum calcium and serum parathyroid hormone levels), imaging parameters (ultrasonography and 99mTc-MIBI), and operative times were analyzed. Results: Our study consisted of 30 patients with 50% females, with a mean age of 42.5 + 12 years. The mean surgical duration was 20 + 12 min. All of the patients achieved biochemical cure (normalization of serum calcium) and remained eucalcemic at follow-up. No major surgical complications were noted. Conclusions: Focused parathyroidectomy using the gamma probe localization could be a potential alternative for ioPTH assay in ensuring the completeness of surgical resection of parathyroid adenoma. It is also likely to shorten operative time.
- Subjects
BENGALURU (India); PARATHYROIDECTOMY; MEDICAL centers; PARATHYROID gland surgery; POSTOPERATIVE period
- Publication
Indian Journal of Nuclear Medicine, 2017, Vol 32, Issue 3, p184
- ISSN
0972-3919
- Publication type
Article
- DOI
10.4103/ijnm.IJNM_9_17