With improvement in both preoperative parathyroid tumor identification and the use of intraoperative parathyroid hormone assay, minimally invasive parathyroidectomy (MIP) is now performed more frequently in patients with primary hyperparathyroidism (pHPT). Still, many institutions are not familiar with performing MIP under regional or local anesthesia. Here, Dr. Tobias Carling presents an MIP performed under local cervical block anesthesia on a patient with pHPT and parathryoid adenoma.
A 60-year-old female’s biochemical workup concluded she had primary hyperparathyroidism, and preoperative images suggested a left lower parathyroid lesion. Consequently, Dr. Tobias Carling performed a minimally invasive parathyroidectomy under local cervical anesthesia while preserving the esophagus and recurrent laryngeal nerve. Intraoperative PTH proved complete resection.