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Parathyroid Surgery

Parathyroid Surgery

The parathyroid glands control the calcium level in your body. When these glands malfunction, patients typically present with hypercalcemia (an abnormally high calcium level). Patients with hyperparathyroidism also can suffer from kidney stones, bone pain, osteopenia or osteoporosis, and depression. 

Primary hyperparathyroidism is usually due to either a single parathyroid tumor (parathyroid adenoma) or to enlargement of all four parathyroid glands (parathyroid hyperplasia). Both of these problems are treated with surgical excision, parathyroidectomy.

Pre-operative workup for hyperparathyroidism is essential to best-practice parathyroid surgery. This may include ultrasound, nuclear medicine scan (Sestamibi scan) or CT scan.

There are two main types of surgery done for abnormal parathyroid glands: traditional parathyroidectomy with four gland exploration and minimally invasive parathyroidectomy.

Traditional parathyroidectomy: This approach involves visualizing all four glands through a small incision in the neck. Once the abnormal gland is identified, it can be removed. This surgery often is combined with intra-operative PTH monitoring.

Minimally invasive parathyroidectomy: In this procedure, the abnormal parathyroid gland is located pre-operatively by pre-op imaging studies. The surgeon experienced in minimally invasive surgery can then remove the affected gland through a small incision. This surgery sometimes can be done under local anethesia. Intra-operative PTH monitoring is essential. At The Longstreet Clinic Department of Surgery, our surgeons have extensive experience in minimally invasive parathyroidectomy.

We understand that choosing a surgeon for your parathyroid procedure is a process based on trust and the knowledge that your physician genuinely cares about what is best for your individual case. Our team of surgeons prides themselves on treating each patient as a unique and individual case that requires a unique and individual treatment process. We look forward to sitting down with you and determining the best course of care to treat your parathyroid condition through the most appropriate surgical procedure available.