Regardless of surgical adjuncts (scanning, intraoperative parathyroid hormone), unilateral parathyroidectomy will carry a 1-year failure rate of 3% to 5% and a 10-year recurrence rate of 4% to 6%. Allowing rapid analysis of all 4 glands through the same 1-inch incision has caused us to all but abandon unilateral parathyroidectomy.
Norman Parathyroid Center, Tampa, FL 33544, USA. jnorman [at] parathyroid.com
J Am Coll Surg. 2012 Mar;214(3):260-9
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