Lilah F. Morris, Michael W. Yeh

Research output: Chapter in Book/Report/Conference proceedingChapter


Parathyroidectomy is definitive treatment for sporadic, primary hyperparathyroidism with cure rates as high as 98 % at expert centers. We explore the predictive value of preoperative localizing studies including 99mTc-sestamibi scan, ultrasound, and four-dimensional CT scan. Operative technique for bilateral neck exploration is described with special attention given to anatomic principles. While there are multiple techniques for limited exploration -defined as a unilateral, image-directed parathyroidectomy involving an incision measuring 2.5 cm or less -we describe the lateral mini-incision approach. Although uncommon, complications of parathyroidectomy include hematoma, hypocalcemia, permanent hypoparathyroidism, nerve injury, and operative failure. Finally, we address the advantages, disadvantages, and controversies of four-gland versus limited exploration.

Original languageEnglish (US)
Title of host publicationIllustrative Handbook of General Surgery
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Number of pages12
ISBN (Electronic)9783319245577
ISBN (Print)9783319245553
StatePublished - Jan 1 2016
Externally publishedYes


  • Bilateral neck exploration
  • Minimally invasive parathyroidectomy
  • Parathyroid adenoma
  • Sporadic primary hyperparathyroidism

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'Parathyroidectomy'. Together they form a unique fingerprint.

Cite this