Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Initial neck exploration for untreated hyperparathyroidism.

R C Martin1, D Greenwell, M B Flynn

  • 1Department of Surgery, University of Louisville, School of Medicine, Kentucky, USA.

The American Surgeon
|April 12, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

First Report of Cocksfoot Mottle Virus Infecting Dactylis glomerata in Forage Production Fields in California.

Plant disease·2018
Same author

Safety and advantages of combined resection and microwave ablation in patients with bilobar hepatic malignancies.

International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·2016
Same author

The role of LIFG-based executive control in sentence comprehension.

Cognitive neuropsychology·2015
Same author

Heterogeneity of deficits in developmental dyslexia and implications for methodology.

Psychonomic bulletin & review·2013
Same author

Implications of dairy systems on enteric methane and postulated effects on total greenhouse gas emission.

Animal : an international journal of animal bioscience·2013
Same author

Treatment consent capacity in patients with traumatic brain injury across a range of injury severity.

Neurology·2012
Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026
Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026
Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026
Same journal

Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing.

The American surgeon·2026
Same journal

Musculoskeletal Pain in Surgeons on Operating Days.

The American surgeon·2026
Same journal

Splenectomy During Cytoreductive Surgery: Marker of Surgical Burden or Independent Predictor of Morbidity?

The American surgeon·2026
See all related articles

Neck exploration for hyperparathyroidism is a safe and successful surgery. Preoperative localization studies slightly decreased operative time but did not improve patient outcomes.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • General Surgery

Background:

  • Surgical management of hyperparathyroidism has evolved over two decades.
  • Controversies persist regarding the extent of surgical exploration and the utility of preoperative localization.
  • Hyperparathyroidism management requires careful consideration of surgical strategies.

Purpose of the Study:

  • To evaluate the outcomes of neck exploration for hyperparathyroidism over a 21-year period.
  • To assess the impact of preoperative localization studies on surgical outcomes.
  • To compare unilateral versus bilateral neck exploration approaches.

Main Methods:

  • Retrospective analysis of 193 patients undergoing neck exploration for hyperparathyroidism (1976-1997).
  • Data collected from four hospitals, including details on preoperative localization and surgical extent.

Related Experiment Videos

  • Comparison of operative times, complication rates, and success rates between different surgical approaches.

    • Main Results:

    • Preoperative localization identified the abnormal gland in 55% of cases, with Technetium sestamibi scan showing 83% accuracy.
    • Preoperative localization modestly reduced operative time (118 vs. 137 minutes) but did not alter outcomes.
    • Unilateral exploration (37%) had a 98% success rate and lower hypocalcemia risk (3%) compared to bilateral exploration (63%, 91% success, 24% hypocalcemia).

    Conclusions:

    • Neck exploration for hyperparathyroidism is a safe and highly successful procedure with minimal morbidity and no mortality.
    • Preoperative localization offers a modest reduction in surgical duration but does not significantly improve overall patient outcomes.
    • Unilateral exploration is associated with comparable success rates and a lower incidence of temporary hypocalcemia compared to bilateral exploration.