PARATHYROIDECTOMY (MINIMALLY INVASIVE/FOCUSED)
Indication: Primary hyperparathyroidism with concordant pre-operative localisation (sestamibi scan and ultrasound identifying a single adenoma). Suitable for sporadic single-gland disease in non-familial setting.
Patient Position: Supine, neck extended.
Anaesthesia: General or regional (cervical block).
Pre-operative: Concordant localisation on two imaging modalities. Intraoperative PTH monitoring available.
Incision: Small (2–3 cm) transverse incision over the side of the localised adenoma.