[An update on parathyroid surgery].

P Campi; R Cristofani; M F Burattini; A Servoli; A Morabito; E Moriconi; V Scalercio; E Ricci; V Lauro; M Prestipino; C Bussotti; I Sabalich; A Bartoli

PubMed · 9162190

[An update on parathyroid surgery].

P Campi·R Cristofani·M F Burattini·A Servoli·A Morabito·E Moriconi·V Scalercio·E Ricci·V Lauro·M Prestipino·C Bussotti·I Sabalich·A Bartoli

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Abstract

The operative management of patients with hyperparathyroidism is controversial. High rates of persistent hypercalcemia and postoperative hypoparathyroidism are seen in multiple hyperplasia and bilateral neck exploration. Patients undergoing unilateral neck exploration with removal of a single parathyroid adenoma have a rapid clearance of PTH which declines within hours after surgery. There is a sensitive immunometric assay (IRMA) for the intact molecule which demonstrates a decline in 15 minutes during surgery. Intraoperative measurement of PTH may be complementary to surgical skill and histopathologic information and may modulate extension of neck exploration.

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Adenoma Adolescent Adult Aged Biopsy, Needle Female Humans Hyperparathyroidism Male Middle Aged Parathyroid Glands Parathyroid Hormone Parathyroid Neoplasms Parathyroidectomy Radionuclide Imaging Ultrasonography Journal Article

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P Campi, R Cristofani, M F Burattini, A Servoli, A Morabito, E Moriconi, V Scalercio, E Ricci, V Lauro, M Prestipino, C Bussotti, I Sabalich, A Bartoli. [An update on parathyroid surgery].. https://pubmed.ncbi.nlm.nih.gov/9162190/

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