Quick intraoperative parathormone monitoring
Teitz, S.; Halpern, T.; Hagag, P.; Chen, Z.; Herziano, E.; Marcus, O.; Horn, T.; Halevy, A.
Harefuah 140(10): 915
2001
ISSN/ISBN: 0017-7768 PMID: 11681123 Document Number: 537402
Successful parathyroidectomy for primary hyperparathyroidism has traditionally consisted of bilateral neck exploration with identification of all parathyroid glands and excision of grossly abnormal glands. Recently it has been reported that preoperative localization combined with intraoperative monitoring of parathyroid hormone enables performing directed unilateral cervical explorations while maintaining similar cure rates. This new surgical approach, feasible under local anesthesia as an outpatient procedure, decreases operative time, improves cosmetic results and may reduce morbidity. We report preliminary results of our experience in implementing this method.