| Minimally invasive parathyroidectomy using local anesthesia with intravenous sedation and targeted approaches. | |
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MedLine Citation:
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PMID: 18312889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Minimally invasive parathyroidectomy (MIP) is generally performed under general anesthesia. This study evaluates the efficacy and safety of MIP performed under intravenous sedation with local anesthesia. STUDY DESIGN: Historical cohort study. SUBJECTS: One hundred eighty-six consecutive patients undergoing MIP using sedation with local anesthesia. METHODS: Two different targeted approaches were used to achieve good exposure with minimal retraction, which allows the procedure to be performed with little discomfort. In all patients, an adenoma was localized preoperatively and its depth mapped by sestamibi scan with single-photon emission computed tomography and/or ultrasound. A midline anterior approach was used for inferior glands that were superficially located. A lateral approach was used for glands that were located posteriorly or superiorly. RESULTS: MIP was successfully completed under local/sedation in 177 patients; 167 were discharged the same day. Complications include two pneumothorax, one small hematoma, and one transient vocal cord paralysis. CONCLUSIONS: By using a targeted approach, MIP can be safely performed under local anesthesia in appropriately selected patients. |
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Authors:
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Maisie L Shindo; Joshua M Rosenthal; Thomas Lee |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 138 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-03-03 Completed Date: 2008-04-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 381-7 Citation Subset: IM |
Affiliation:
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SUNY at Stony Brook, Stony Brook, NY 11794, USA. maisie.shindo@sunysb.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenoma
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radionuclide imaging,
surgery*,
ultrasonography Anesthesia, Local* Conscious Sedation* Humans Parathyroid Neoplasms / radionuclide imaging, surgery*, ultrasonography Parathyroidectomy / methods* Radiopharmaceuticals / diagnostic use Surgical Procedures, Minimally Invasive Technetium Tc 99m Sestamibi / diagnostic use Tomography, Emission-Computed, Single-Photon |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 109581-73-9/Technetium Tc 99m Sestamibi |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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