Abstract

RAYO-MADRID, Juan I et al. Radioguided parathyroid surgery. Rev. ORL [online]. 2020, vol.11, n.3, pp.369-382.  Epub Jan 11, 2021. ISSN 2444-7986.  https://dx.doi.org/10.14201/orl.21693.

Primary hyperparathyroidism is the main cause of hypercalcemia in outpatients. It is caused in 85-90 % of cases by a solitary adenoma. Radioguided surgery (RGS) is a minimally invasive surgical technique that uses radiopharmaceutical drugs to facilitate the location and removal of benignor malignant lesions. Radioguided parathyroid surgery (RGPS), as a GOSTT (Guided intraOperative Scintigraphic Tumor Targeting) technique and minimally invasive, requires a diagnostic imaging test to anatomically locate the lesion and establish its functional behavior. The MIBI-99mTc is the tracer of choice, and should always include tomographic studies, especially the SPECT-CT. This radiotracer is used during the RGPS together with intraoperative probes, gammacameras and portable SPECT devices, navigation tools and laparoscopic robotic systems. The RGPS reduces surgical time, hospital costs and patient morbidity with high effectiveness and efficiency.

Keywords : minimally invasive surgery; radioguided surgery; parathyroid; hyperparathyroidism; MIBI; 99mTc.

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