Valor del diagnóstico topográfico preoperatorio en el hiperparatiroidismo

The sensitivity of 99Tc-sestamibi scintigraphy was 89.7% and this test was accurate in 100% of solitary lesions showing uptake. The sensitivity of ultrasonography was 56% and that of CT was 53%. Preoperative topographic diagnosis allows a selective cervical approach to be used. The selective approach produces an equal or greater benefit than exploratory cervicotomy and significantly shortens surgical time, operating room utilization, and mean length of stay, and reduces the cost of the process. The change in surgical strategy to the selective approach, modulated by preoperative utilization of these resources, improves the value (efficiency) of the process.