Minimally Invasive Radioguided Parathyroidectomy

被引：0
作者：
Sarah C. Oltmann
Herbert Chen
机构：
[1] University of Wisconsin,Section of Endocrine Surgery, Department of Surgery
[2] University of Wisconsin,Section of Endocrine Surgery, Department of Surgery
来源：
Current Surgery Reports | 2013年 / 1卷 / 1期
关键词：
Hyperparathyroidism; Minimally invasive parathyroidectomy; Radioguided parathyroidectomy; Gamma probe; Endocrine surgery; Patient selection; Troubleshooting; Postoperative care; Contraindications;
D O I：
10.1007/s40137-012-0001-y
中图分类号：
学科分类号：
摘要：
The surgical management of hyperparathyroidism has evolved over the last 20 years, transitioning from routine bilateral neck exploration to, frequently, a minimally invasive approach. Adjuncts which have made this transition possible include advancements in imaging techniques which allow the pre-operative localization of adenomatous glands, the rapid parathyroid hormone assay and the use of 99-m technetium sestamibi injections the day of surgery to allow for gamma probe detection of abnormal glands. The gamma probe can help with gland localization, which can be particularly useful in a re-operative field or with glands in ectopic locations. It is also helpful in confirming that excised tissue is abnormal parathyroid tissue, alleviating the need for frozen sections during surgery. In this chapter we discuss and review radioguided minimally invasive parathyroidectomy.
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页码：1 / 6
页数：5
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