| Popis: |
The majority of high-volume parathyroid surgeons use intraoperative parathyroid hormone monitoring (IPM) to guide parathyroidectomy in patients with sporadic primary hyperparathyroidism (SPHPT). This surgical adjunct has helped change the operative approach to parathyroidectomy from the traditional bilateral neck exploration (BNE) with visualization of all parathyroids and excision of enlarged glands based on the surgeon’s subjective judgment of gland size to a minimally invasive parathyroidectomy with removal of only the hypersecreting gland(s), preserving all normally functioning tissue. This less invasive approach to parathyroidectomy, safely achieved with the help of IPM, is not only as successful as BNE but also allows for surgery in an ambulatory setting with less neck dissection, often with fewer glands excised, shorter operative time, and fewer postoperative complications. |
