A new technique to simplify the minimally invasive parathyroidectomy: Ultrasound-assisted guided wire localization for solitary parathyroid adenomas

Objective: to investigate the benefits of ultrasound-assisted guided wire localization in mip for selected cases. methods: in this prospective,nonrandomised study,we included 36 patients with solitary parathyroid adenomas diagnosed preoperatively by 99m tc sesta mibi scintigraphy and/or neck ultrasonography. an ultrasound-guided wire was placed in the solitary parathyroid adenoma preoperatively. mips were performed under local anaesthesia plus sedation. after the excision,the parathyroidectomy was confirmed with postoperative ultrasonography. results: there were 36 patients included in our study. the mean age was 54.89±11.28 years,and 30 patients were females (83.3%). preoperative pth and calcium (ca) levels were 269.5 pg/ml (83.5-5,000 pg/ml) and 12.2 mg/dl (11.1-20 mg/dl),respectively. postoperative serum pth and ca levels were 42.04±26.65 pg/ml and 8.95±0.74 mg/dl,respectively. the mean operation time was 21.69±6.4 minutes and the average hospitalisation time was 18 hours (range: 10-72 hours). conclusions: ultrasound-assisted guided wire localization may be useful in selected mip cases. the mip advantages include higher success rates and being easy to learn and practise. © 2016,pakistan medical association. all rights reserved.