Hiperparatiroidismo primario. Experiencia inicial con cirugía de mínima invasión

Summary The most common cause of primary hyperparathyroidism is an adenoma. The sole cure for this disease is correct localization and extirpation of this benign neoplasm. The traditional surgical approach for primary hyperparathyroidism involved a large cervical incision and extensive dissection to identify the four parathyroid glands, localizing and resecting the adenoma. This procedure was time-consuming and had a significant potential for morbidity. With the introduction of modern diagnostic procedures, it is now possible to obtain pre-operative localization of the adenoma and to use minimally invasive techniques to resect it with the aid of a radioguided gamma probe. The procedure can be done in outpatient units with minimal discomfort to patients.

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