Indian Journal of Nuclear Medicine

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 32  |  Issue : 3  |  Page : 184--187

Radio-guided minimally invasive parathyroidectomy: A descriptive report of the experience from tertiary center in Bangalore


Bhushan Vidya1, Shubhra Chauhan1, Naveen Hedne Chandrasekhar1, HV Sunil2, Vijay Pillai3, Vivek Shetty1, RL Vijayaraghavan2, Moni Abraham Kuriakose1, Subramanian Kannan3 
1 Department of Head and Neck Surgical Oncology, Diabetes and Metabolism, Narayana Health City, Bangalore, Karnataka, India
2 Department of Nuclear Medicine, Diabetes and Metabolism, Narayana Health City, Bangalore, Karnataka, India
3 Department of Endocrinology, Diabetes and Metabolism, Narayana Health City, Bangalore, Karnataka, India

Correspondence Address:
Subramanian Kannan
Consultant and Head of Department Endocrinology, Diabetes and Metabolism, Narayana Health City Bangalore, Karnataka
India

Overview: Minimally invasive parathyroidectomy (MIP) is an accepted surgical procedure for parathyroid adenomas. In the patients with parathyroid adenoma localized by dual phase 99mTc-Sestamibi scan, a focused approach utilizing the gamma probe intra-operatively helps in ensuring complete resection and avoiding exploration of the other parathyroid glands. Objective: The aim of the study was to evaluate the performance of radio-guided MIP for parathyroid adenomas detected by dual phase 99mTc-MIBI preoperatively, without intra-operative parathyroid hormone (ioPTH) monitoring for patients who had evidence of single-gland disease. Patients and Methods: A retrospective dataset of 30 patients diagnosed with solitary parathyroid adenoma operated between 2009 and 2014 were reviewed. All of the patients underwent radio-guided MIP and were followed up for at least 6 months post-operatively. The biochemical parameters (serum calcium and serum parathyroid hormone levels), imaging parameters (ultrasonography and 99mTc-MIBI), and operative times were analyzed. Results: Our study consisted of 30 patients with 50% females, with a mean age of 42.5 + 12 years. The mean surgical duration was 20 + 12 min. All of the patients achieved biochemical cure (normalization of serum calcium) and remained eucalcemic at follow-up. No major surgical complications were noted. Conclusions: Focused parathyroidectomy using the gamma probe localization could be a potential alternative for ioPTH assay in ensuring the completeness of surgical resection of parathyroid adenoma. It is also likely to shorten operative time.


How to cite this article:
Vidya B, Chauhan S, Chandrasekhar NH, Sunil H V, Pillai V, Shetty V, Vijayaraghavan R L, Kuriakose MA, Kannan S. Radio-guided minimally invasive parathyroidectomy: A descriptive report of the experience from tertiary center in Bangalore.Indian J Nucl Med 2017;32:184-187


How to cite this URL:
Vidya B, Chauhan S, Chandrasekhar NH, Sunil H V, Pillai V, Shetty V, Vijayaraghavan R L, Kuriakose MA, Kannan S. Radio-guided minimally invasive parathyroidectomy: A descriptive report of the experience from tertiary center in Bangalore. Indian J Nucl Med [serial online] 2017 [cited 2021 Apr 14 ];32:184-187
Available from: https://www.ijnm.in/article.asp?issn=0972-3919;year=2017;volume=32;issue=3;spage=184;epage=187;aulast=Vidya;type=0