← Articles

Young et al: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism
Veterinary Surgery 1, 2023

🔍 Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Simini Surgery Review Podcast

How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

Thanks for the feedback!
‍We'll keep fine-tuning the articles vault.
Oops — didn’t go through.
‍Mind trying that again?
← Articles

Young et al: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism
Veterinary Surgery 1, 2023

🔍 Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Simini Surgery Review Podcast

Join Now to Access Key Summaries to more Veterinary Surgery Articles!
Log InSign Up

Multiple Choice Questions on this study

In Young 2023 et al., on minimally invasive parathyroidectomy, what percentage of dogs developed permanent hypocalcemia requiring lifelong calcitriol?

A. 0.5%
B. 2.2%
C. 4.4%
D. 6.7%
E. 15.6%

Answer: 4.4%

Explanation: Two dogs (4.4%) developed permanent hypocalcemia needing lifelong supplementation.
In Young 2023 et al., on minimally invasive parathyroidectomy, what was the short-term resolution rate of hypercalcemia following surgery?

A. 84.4%
B. 89.1%
C. 93.3%
D. 97.8%
E. 100%

Answer: 97.8%

Explanation: Short-term resolution of hypercalcemia occurred in 44 of 45 dogs (97.8%) following surgery.
In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common histopathologic diagnosis in excised parathyroid glands?

A. Parathyroid hyperplasia
B. Parathyroid carcinoma
C. Parathyroid adenoma
D. Normal thyroid tissue
E. Endocrine neoplasm

Answer: Parathyroid adenoma

Explanation: Parathyroid adenomas accounted for 54.8% of excised glands, the most common diagnosis in the study.
In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common location of affected parathyroid glands identified on ultrasound?

A. Left side
B. Right side
C. Bilateral
D. Ectopic
E. Not reported

Answer: Right side

Explanation: The right side was the most common location (46%) for abnormal parathyroid glands identified via ultrasound.
In Young 2023 et al., on minimally invasive parathyroidectomy, which complication led to the only reported postoperative death?

A. Hemorrhage
B. Recurrent laryngeal nerve damage
C. Infection
D. Clinical hypocalcemia
E. Thyroid storm

Answer: Clinical hypocalcemia

Explanation: One dog died postoperatively from clinical hypocalcemia due to non-compliance with prescribed calcitriol.

Elevate Your Infection Control Protocol

Implement Simini Protect Lavage for superior, clinically-proven post-operative skin antisepsis and reduced infection risk.

Start Your Free Trial TodayStart Your Free Trial

Review More Key Summaries from this Veterinary Surgery Journal Issue

Story

 et al: 

Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis

Paulick

 et al: 

Ex vivo comparison of lateral plate repairs of experimental oblique ilial fractures in cats

Levine

 et al: 

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Carvajal

 et al: 

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Whitney

 et al: 

Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods