Quantitative Parathyroidectomy

[Parathyroidectomy in CKD].

Chondrocalcinosis after parathyroidectomy.

In this retrospective study of 57 patients with primary hyperparathyroidism who underwent parathyroidectomy, the overall incidence of chondrocalcinosis was 40%. Neither joint symptoms nor chondrocalcinosis regressed after the operation. In several patients the condition appeared to deteriorate both clinically and radiologically after the operation, while in a few both the chondrocalcinosis and ...

Minimally invasive radioguided parathyroidectomy.

The recent development of radioguided parathyroidectomy has allowed parathyroidectomy to be quickly performed by a significantly less invasive procedure. Radioguided parathyroidectomy is also likely to decrease operation time, risk of complications, hospital stay, and the overall cost of patient care, result in a smaller scar and rapid, nearly pain-free recovery, and allow local anesthesia. Des...

Cinacalcet: the chemical parathyroidectomy?

The existing body of evidence suggests that cinacalcet is an effective drug for secondary hyperparathyroidism (SHPT) control in patients undergoing maintenance dialysis (CKD-5D) [1–10]. Indeed, available evidence suggests that by modulating the parathyroid calcium-sensing receptor affinity to serum calcium, cinacalcet lowers by 40–50% (250–350 pg/mL) serum parathyroid hormone (PTH) (Table 1). A...

Minimally Invasive Parathyroidectomy

Minimally invasive parathyroidectomy (MIP) is an operative approach for the treatment of primary hyperparathyroidism (pHPT). Currently, routine use of improved preoperative localization studies, cervical block anesthesia in the conscious patient, and intraoperative parathyroid hormone analyses aid in guiding surgical therapy. MIP requires less surgical dissection causing decreased trauma to tis...