Surgical evaluation of minimally invasive parathyroidectomy

ABSTRACT

This study included selected 30 patients with primary hyperparathyroidism [PHPT] due to solitary adenoma after exclusion criteria. All our patients were submitted preoperatively to estimation of serum calcium level serum parathormone [PTH] level bone survey, neck ultrasonography and technetium 99 sestamibi [Tc99 MIBI] scan. After adequate localization of the parathyroid adenoma, all our patients were treated surgically by excision of the previously adequately localized parathyroid adenoma through a unilateral neck exploration. The unilateral neck exploration [focused technique] for treatment of PHPT due to solitary adenoma can be considered as a good method of treatment of such condition regarding the less surgical morbidity, favourable cosmesis, patient satisfaction, shorter operating time and earlier discharge