HYPOTHESIS: A clearly localizing sestamibi scan predicts a successful minimally invasive radioguided parathyroidectomy that can be performed with a shorter operative time, low morbidity, and decreased duration of hospital stay. DESIGN: Review of prospectively gathered data and @entity1 medical records. SETTING: Hospitalized care. @entity1 AND METHODS: Parathyroidectomy was performed on 55 @entity1 with a secure biochemical diagnosis of @entity2742 and a sestamibi scan performed at the University of Connecticut Health Center. Of the 40 @entity1 with a clearly positive sestamibi scan result, 31 underwent radioguided parathyroidectomy. The results of radioguided parathyroidectomy are compared with those of the standard bilateral exploration performed in the remaining 24 @entity1 . MAIN OUTCOME MEASURES: Ionized @entity460 concentration, postoperative complications, and operative time. RESULTS: All @entity1 were cured of @entity2742 , and no @entity1 experienced recurrent @entity16 . @entity3243 were found at the predicted site in all 40 @entity1 with a clearly localizing sestamibi scan. Of the 31 @entity1 who underwent radioguided parathyroidectomy, a single parathyroid @entity652 was identified in 30 @entity1 , and a double @entity652 was found in 1 @entity1 . Conversion to a standard procedure was necessary in 1 @entity1 with a large @entity652 . The average operating room time was 128 minutes for the radioguided procedure and 224 minutes for the standard exploration. The average incision length for radioguided parathyroidectomy was 3.3 +/- 0.7 cm. CONCLUSIONS: A clearly localizing sestamibi scan predicts that 97% of @entity1 can undergo a successful and safe minimally invasive radioguided parathyroidectomy that requires less operative time than the standard exploration.

Radioguided tumorectomy in the management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity16 :: ('MESH:D009422', 'Disease') :: ['laryngeal nerve damage'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium'] @entity3243 :: ('MESH:D010282', 'Disease') :: ['Parathyroid adenomas'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenoma'] @entity2742 :: ('MESH:D006961', 'Disease') :: ['hyperparathyroidism']
@entity3243 :: (MESH:D010282,Disease) :: ['parathyroid adenomas']
