Instructional Session: ISW6

Wednesday 4 July 2018, 16.45-17.45

Parathyroid surgery – how to improve your success rate?

Mr. Venkat Srinivasan, FRCS (Ed), FRCS (ORL)

Target audience:
Trainees nearing CCT and consultants

Overall objective:

  • This course will explain the surgical technique of parathyroid surgery in simple steps to the trainees and will provide practical tips to improve success rate in difficult cases for consultants
  • It will discuss various investigations used in localisation of adenoma and their limitations
  • Particular emphasis will be given on teaching and discussing the role of minimally invasive parathyroidectomy (MIP) approach.

Outline of the session:
The whole session will be interactive and stimulating to the audience. Participants will be encouraged to ask questions and be the central part of discussions. Straightforward and difficult cases encountered by the author will be presented. Adenoma excision will be presented step by step for the benefit of trainees.Sensitivity and specificity of various localising investigations and methods – used pre-operatively and intra-operatively – will be explained. Minimally invasive approach (MIP) will be illustrated with surgical video presentations. Neck exploration and the tips to find that ‘elusive’ adenoma, particularly in re-do cases, will be discussed with examples.
It would be useful if the audience come prepared with the medical knowledge of hyperparathyroidism and hypercalcemia.

Learning outcomes:

  • Assessment of patients with primary, secondary and tertiary hyperparathyroidism
  • Case selection for surgery
  • Surgical steps of parathyroid adenoma excision in primary hyperaparathyroidism and
    total parathyroidectomy in tertiary hyperparathyrodisim
  • Thorough understanding of minimally invasive parathyroidectomy (MIP) procedure
  • Tips for finding the adenoma in difficult cases and re-do cases