Minimally invasive endocrine surgery

Our surgeons are experienced in minimally invasive endocrine surgery. It is the ideal approach for many patients. The main advantage is a quicker recovery, and smaller incisions.

Types of thyroidectomy

Thyroid lobectomy
Removing half of the butterfly shaped gland
Thyroid lobectomy and isthmusectomy
Removing half of the gland and the middle part of the gland
Near-total or total thyroidectomy
Removing the entire gland
Subtotal thyroidectomy
Leaves behind a part of the thyroid gland
Minimally invasive thyroidectomy
Thyroidectomy performed through a very small incision
Endoscopic video-assisted thyroidectomy
Thyroidectomy performed through several very small incisions, aided by a small camera inserted into the neck
Total endoscopic thyroidectomy

Minimally invasive parathyroidectomy (MIP)

This procedure is possible only if preoperative imaging (sestamibi and/or ultrasound) identifies a single abnormal parathyroid gland in the neck. A small incision (1 to 2 inches) is made in the front of the neck. Minimal dissection is done to expose and remove the gland. The surgery can be performed under locoregional anesthesia, if desired. Intraoperative PTH monitoring is used to confirm removal of all hyperfunctioning parathyroid tissue.

Intraoperative PTH (IOPTH)

The intraoperative PTH assay measures PTH levels during parathyroid surgery. Blood is obtained from a vein or artery during surgery and analyzed in the operating room laboratory. After the overactive parathyroid gland(s) are removed, the circulating PTH levels will drop (see graph), and the surgeon will conclude the operation. It has an over 95% accuracy rate in predicting operative success. If the levels do not drop appropriately during the case, the surgeon will continue to search for additional abnormal glands by performing a conventional four gland exploration.

Adrenalectomy

This is a surgical procedure to remove the adrenal gland(s). Most small adrenal masses can be removed laparoscopically. However, larger masses and those that are suspicious for cancer are removed via open surgery.

Last reviewed: 
June 2016

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