{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:06:13Z","timestamp":1792055173574,"version":"4.4.0"},"reference-count":0,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[1996,7,1]],"date-time":"1996-07-01T00:00:00Z","timestamp":836179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1996,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Unilateral neck exploration (UNE) is a controversial approach to the treatment of primary hyperparathyroidism (PHP), and most surgeons favor bilateral neck exploration. The aim of this study was to assess the value of ultrasonography, sestamibi scintigraphy, and intraoperative measurement of urinary cyclic AMP (UcAMP) or 1\u201084\u00a0PTH in 200 patients undergoing unilateral neck exploration under local anesthesia. Conditions for UNE were (1) a presumed solitary adenoma detected by ultrasonography, (2) no thyroid disease, and (3) no family history of PHP or multiple endocrine neoplasia. Patient's consent was obtained for conversion to bilateral exploration according to surgical and biologic findings. Sensitivity of ultrasonography was 92.5%. Sestamibi scintigraphy, performed in 70 patients, was less sensitive than ultrasonography (80%). Persistent PHP was accurately detected by intraoperative measurement of UcAMP or 1\u201084\u00a0PTH in all cases. At follow\u2010up, 96.0% of the patients were cured either after unilateral neck exploration only (90.5%), or after conversion into bilateral exploration. Ultrasonography and intraoperative measurement of 1\u201084\u00a0PTH allow unilateral neck exploration with excellent results in a selected group of patients with PHP.<\/jats:p>","DOI":"10.1007\/s002689900127","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:57:49Z","timestamp":1030255069000},"page":"835-840","source":"Crossref","is-referenced-by-count":125,"title":["Values of Ultrasonography, Sestamibi Scintigraphy, and Intraoperative Measurement of 1\u201084\u00a0PTH for Unilateral Neck Exploration of Primary Hyperparathyroidism"],"prefix":"10.1002","volume":"20","author":[{"given":"Yves","family":"Chapuis","sequence":"first","affiliation":[{"name":"Department of Surgery Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Fulla","sequence":"additional","affiliation":[{"name":"Department of Surgery Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Bonnichon","sequence":"additional","affiliation":[{"name":"Department of Surgery Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Tarla","sequence":"additional","affiliation":[{"name":"Department of Surgery Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassam","family":"Abboud","sequence":"additional","affiliation":[{"name":"Department of Surgery Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jol","family":"Pitre","sequence":"additional","affiliation":[{"name":"Department of Surgery Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Richard","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine Cochin Hospital 27 Rue du Faubourg Saint\u2010Jacques 75014 Paris France<!--<country1>FR<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1996,7]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s002689900127.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s002689900127\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s002689900127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T16:12:35Z","timestamp":1704989555000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s002689900127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,7]]},"references-count":0,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1996,7]]}},"alternative-id":["10.1007\/s002689900127"],"URL":"https:\/\/doi.org\/10.1007\/s002689900127","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,7]]}}}