Minimally invasive parathyroidectomy

Abstract

The operative management of primary hyperparathyroidism has changed significantly since the first parathyroidectomy performed almost a century ago (Delbridge and Palazzo 2007). The standard procedure has evolved over decades into the bilateral neck exploration (BNE) which involves the careful identification of all parathyroid glands. Abnormal glands are removed and the normal glands are left in situ without biopsy.