Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002
Recently we have seen some remarkable changes in the way that we approach the patient who has primary hyperparathyroidism. Although not all concur, many surgeons now believe that as a result of several technological advances, minimally invasive parathyroidectomy is the preferred approach for such patients.1 These advances include preoperative localization with technetium Tc 99m sestamibi scanning, high-resolution ultrasonography, the availability of intraoperative parathyroid hormone level monitoring, and intraoperative nuclear mapping via the use of the handheld gamma-detection device. Interestingly, all were relatively unheard of (or declared not useful) just a decade ago!
Ross AJ. Radioguidance Is Not Necessary During Parathyroidectomy—Invited Critique. Arch Surg. 2002;137(8):970. doi:10.1001/archsurg.137.8.970