scholarly journals Radio-Guided Surgery and Intraoperative iPTH Determination in the Treatment of Primary Hyperparathyroidism

10.5772/29881 ◽  
2012 ◽  
Author(s):  
Paloma Garcia-Talavera ◽  
Jose Ramon
Keyword(s):  
Primary Hyperparathyroidism ◽  
Guided Surgery

Minimally invasive radio-guided surgery for primary hyperparathyroidism: From preoperative to intraoperative localization imaging

2010 ◽  
Vol 71 (6) ◽  
pp. 511-518 ◽  
Author(s):  
D. Rubello ◽  
N. Kapse ◽  
G. Grassetto ◽  
A. Massaro ◽  
A. Al-Nahhas
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Guided Surgery ◽  
Intraoperative Localization

Minimally Invasive Radio-guided Surgery for Primary Hyperparathyroidism

2007 ◽  
Vol 14 (12) ◽  
pp. 3401-3402 ◽  
Author(s):  
Brian R. Untch ◽  
Michael E. Barfield ◽  
Joe Bason ◽  
John A. Olson
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Guided Surgery

scholarly journals F18-choline PET/CT guided surgery in primary hyperparathyroidism when ultrasound and MIBI SPECT/CT are negative or inconclusive: the APACH1 study

2017 ◽  
Vol 45 (4) ◽  
pp. 658-666 ◽  
Author(s):  
Elske Quak ◽  
David Blanchard ◽  
Benjamin Houdu ◽  
Yannick Le Roux ◽  
Renaud Ciappuccini ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Ct Guided ◽  
Guided Surgery ◽  
Choline Pet ◽  
Pet Ct ◽  
Mibi Spect

scholarly journals Radio-guided parathyroidectomy for recurrent renal hyperparathyroidism caused by graft hyperplasia

2014 ◽  
Vol 61 (3) ◽  
pp. 73-76
Author(s):  
Z. Loncar ◽  
K. Tausanovic ◽  
N. Kozarevic ◽  
V. Zivaljevic ◽  
B. Oluic ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Tissue ◽  
Preoperative Assessment ◽  
Sternocleidomastoid Muscle ◽  
Total Parathyroidectomy ◽  
Renal Hyperparathyroidism ◽  
Guided Surgery ◽  
Initial Surgery ◽  
Surgical Options ◽  
99Mtc Sestamibi

Radio-guided surgery offers several advantages in treatment of primary hyperparathyroidism. It is considered less helpful in renal hyperparathyroidism, but it could be of great advantage in the treatment of persistent or recurrent secondary hyperparathyroidism. One of the surgical options for symptomatic renal hyperparathyroidism is total parathyroidectomy with autotransplantation of hyperplastic parathyroid tissue in forearm muscles or sternocleidomastoid muscle. Recurrence can occur and is most likely caused by graft hyperplasia. In this report we present the case of 54-year-old woman with recurrent renal hyperparathyroidism caused by hyperplasia of the graft in sternocleidomastoid muscle. Unfortunately no sutures or clips were placed at initial surgery to identify the location of the parathyroid tissue. The preoperative assessment consisting of 99mTc-sestamibi scintigraphy identified a parathyroid tissue in the in the middle third of sternocleidomastoid muscle. The patient underwent a radio-guided neck re-exploration that allowed a rapid localization and excision of the hyperplastic graft.

scholarly journals Role of gamma probes in performing minimally invasive parathyroidectomy in patients with primary hyperparathyroidism: optimization of preoperative and intraoperative procedures

2003 ◽  
pp. 7-15 ◽  
Author(s):  
D Rubello ◽  
A Piotto ◽  
D Casara ◽  
PC Muzzio ◽  
B Shapiro ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Parathyroid Adenoma ◽  
Gamma Probe ◽  
Minimally Invasive Parathyroidectomy ◽  
Operating Theatre ◽  
Neck Ultrasound ◽  
Invasive Parathyroidectomy ◽  
Guided Surgery

OBJECTIVE: In the last decade, surgery of primary hyperparathyroidism (HPT) due to a solitary adenoma has moved on from the traditional wide bilateral neck exploration (BNE) to more limited approaches such as unilateral neck exploration and minimally invasive parathyroidectomy. DESIGN: To define the role of intraoperative gamma probe and injection of a low (99m)Tc-MIBI dose in performing minimally invasive radio-guided surgery (MIRS) in HPT patients with a solitary parathyroid adenoma. METHODS: From September 1999 to July 2002, 214 patients with primary HPT entered the study. All patients were preoperatively investigated by a (99m)Tc-pertechnetate/MIBI subtraction scan and high-resolution neck ultrasound. The intraoperative technique we developed differs from other previously described techniques being based on the injection of a low (37 MBq) MIBI dose in the operating theatre a few minutes before the beginning of intervention. RESULTS: On the basis of scan/ultrasound findings 147 patients were selected for a MIRS and 144 of them (98%) were successfully treated by this approach: a solitary parathyroid adenoma was removed through a small 2-2.5 cm skin incision with a mean operative time of 35 min, and a mean hospital stay of 1.2 days. In the other 67 patients with scan/ultrasound evidence of concomitant nodular goiter (n=45) or multi-gland disease (n=13) or with a negative scan (n=9), the gamma probe was utilized during a traditional BNE. A low 37 MBq MIBI dose proved to be sufficient to perform a MIRS; moreover it delivered to the patient and surgeon a low, negligible, radiation exposure dose. CONCLUSIONS: The combination of a (99m)Tc-pertechnetate/MIBI subtraction scan and neck ultrasound appears to be an accurate imaging protocol in selecting primary HPT patients as candidates for a MIRS. A MIBI dose as low as 37 MBq injected in the operating theatre just before the start of surgery appears to be adequate to perform radio-guided surgery.

1227: Optical Coherence Tomography-Guided Surgery of Bladder Cancer

2006 ◽  
Vol 175 (4S) ◽  
pp. 395-395
Author(s):  
Nancy J. Tresser ◽  
Elena V. Zagaynova ◽  
Olga S. Streltsova ◽  
Natalia D. Gladkova ◽  
Vladislav A. Kamensky ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Guided Surgery

Guided Surgery Treats Fibroids In Black Women

Ob Gyn News ◽  
2008 ◽  
Vol 43 (3) ◽  
pp. 21
Author(s):  
Miriam E. Tucker
Keyword(s):  
Black Women ◽  
Guided Surgery
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