Abandoning unilateral parathyroidectomy: why we reversed our position after 15,000 parathyroid operations.

Abstract

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.

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Subjects

• Anesthesia, General
• Follow-Up Studies
• Humans
• Hyperparathyroidism, Primary
• Length of Stay
• Parathyroid Glands
• Parathyroid Hormone
• Parathyroidectomy
• Reoperation
• Retrospective Studies
• Treatment Outcome

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Authors

• James Norman
• Jose Lopez
• Douglas Politz

Publication date

2012-02-27

Journal

Journal topics

• General Surgery

Language

Eng.

Copyright

Norman Parathyroid Center, Tampa, FL 33544, USA. jnorman [at] parathyroid.com

Release reference

J Am Coll Surg. 2012 Mar;214(3):260-9

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