{"id":63,"date":"2018-01-30T20:50:55","date_gmt":"2018-01-30T20:50:55","guid":{"rendered":"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/parathyroidectomy\/"},"modified":"2024-11-07T13:26:13","modified_gmt":"2024-11-07T18:26:13","slug":"parathyroidectomy","status":"publish","type":"page","link":"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/parathyroidectomy\/","title":{"rendered":"Parathyroidectomy"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":null,"protected":false},"author":2,"featured_media":0,"parent":47,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-63","page","type-page","status-publish","hentry"],"acf":{"layers":[{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"

Parathyroidectomy is a minimally invasive surgery to remove the parathyroid glands or one or more parathyroid tumors from your neck.<\/p>\n

All patients have minimally invasive parathyroid surgery (ie, a very small incision) to remove the abnormal parathyroid glands<\/a>. It is as a same day, outpatient procedure. Surgery is performed under general anesthesia and all patients have Intraoperative PTH testing. There is no age that is \u201ctoo old\u201d for parathyroid surgery \u2013 it can have benefit in people of all ages when done for the appropriate reasons.<\/p>\n

All patients will have a pre-operative parathyroid imaging<\/a>\u00a0to try and localize the parathyroid tumor before surgery.<\/p>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":[{"acf_fc_layout":"alert","alert":{"field_5a871355ec620":"","field_5a87135eec621":"Research has proven that the chance of having a safe and successful parathyroid surgery depends on the experience of the surgeon. ","field_5a871379ec622_field_5a8dd9be0a9f1":"bg-secondary","widget_id_base":"alert","number":"672d06453b3f0","widget_id":"alert-672d06453b3f0","instance":{"title":""},"the_widget":"Em_Widget_Alert"}}],"layer_icon":"","layer_icon_position":"left","layer_background_color":"","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"Intraoperative PTH testing","layer_intro":"","layer_content":"

State of the art surgical technique<\/p>\n

Your parathyroid hormone level will be tested 4 times while you are asleep during surgery to make sure the correct parathyroid gland(s) have been removed before you are awoken from anesthesia. This is known as \u201cintraoperative PTH testing\u201d. It is the most sensitive and accurate intraoperative method for determining if your parathyroid disease has been \u2018cured\u2019 at the time of surgery.<\/p>\n

Your PTH level is expected to be normal at the end of the operation.<\/strong><\/p>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_tabbed","layer_label":"","layer_headline":"","layer_intro":"

Types of Parathyroid Surgery<\/h2>\n","layer_tabs":[{"layer_tab_label":"Focused Parathyroidectomy ","layer_tab_content":"

Focused Parathyroidectomy<\/h3>\n

This targeted approach is possible when we have identified a probable parathyroid tumor on preoperative imaging. Only the abnormal parathyroid tumor is removed and very little other dissection is needed. Intraoperative PTH testing is used to confirm that the correct gland has been removed and that you only had one parathyroid tumor.<\/p>\n","widgets":[{"acf_fc_layout":"video_lightbox","video_lightbox":{"field_5a875286eb1ce":"https:\/\/drive.google.com\/file\/d\/1stcvpAUTJO0phlkHT79f1AwTyME90EW2\/view","field_5a875308eb1cf":"1189","field_5a875314eb1d0":"","widget_id_base":"video_lightbox","number":"672d0645401ac","widget_id":"video_lightbox-672d0645401ac","instance":{"title":"","display_title":"Surgery Video"},"the_widget":"Em_Widget_Video_Lightbox"}}]},{"layer_tab_label":"Four-gland Parathyroid Exploration","layer_tab_content":"

Four-gland Parathyroid Exploration<\/h3>\n

When all preoperative imaging is negative or inconclusive, all four of your parathyroid glands will be examined at the time of parathyroid surgery. The surgeon will then decide if one or more than one parathyroid gland needs to be removed. Intraoperative PTH testing is used to confirm that the correct gland(s) have been removed.<\/p>\n

All of your parathyroid glands will also be examined if your PTH levels do not fall appropriately after a single gland is removed during a focused parathyroidectomy.<\/p>\n","widgets":false},{"layer_tab_label":"Re-operative parathyroid surgery","layer_tab_content":"

Re-operative parathyroid surgery<\/h3>\n

Occasionally, you may need a second parathyroid surgery because of recurrence (4-5% at 10 years) or because your first surgery did not result in a cure. It is important that this surgery is performed by a specialist because there is a lot of scar tissue and there is a small increased risk of complications (less so in experienced hands). Ideally, the parathyroid tumor should be localized on imaging before having this type of surgery.<\/p>\n","widgets":false}],"layer_background_color":"bg-none","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"What to Expect the Day of a Parathyroidectomy \u2013 Commonly Asked Questions","layer_intro":"","layer_content":"