Parathyroidectomy and the use of ioPTH. A survey of the United Italian Society of Endocrine Surgery (SIUEC)

作者：Paolo Del Rio, Salvatore Sorrenti, Giovanni Docimo, Gabriele Materazzi, Mario Testini, Pietro Giorgio Calò, Marco Raffaelli, Maurizio Iacobone, Carmela De Crea, Eleonora Lori, Elena Bonati, SIUEC PHPT Collaborative Group,, Pier Francesco Alesina, Maria Luisa Altana, Gianluca Ansaldo, A Antonino, Alan Attard, Enrico Battistella, Maria Paola Belfiore, Simona Beretta, Cara Bergamo, Marco Boniardi, Marco Bononi, Andrea Borasi, Anna Borrelli, Maurizio Bossotti, Aldo Bove, E. Brugger, Giulia Canu, P. Capelli, Luca Cestino, Damiano Chiari, Malince Chicas Vasquez, Fabio Civitillo, Francesco D’Angelo, Gianfranco D’Onghia, Valerio D’Orazi, Roberto Filippi, Loredana De Pasquale, Alessandra Di Lascia, Gianlorenzo Dionigi, Chiara Dobrinja, Gianluca Donatini, Francesco Feroci, Alessandro Garbellini, Anthony A. Gatti, L Giangreco, Alessandro Giordano, G. Giraudo, Giuseppa Graceffa, A. Gurrado, Nadia Innaro, Tommaso Loderer, Umile Giuseppe Longo, Roberto G. Lucchini, Valeria Matteucci, Fabio Medas, Rossella Melcarne, Alessandra Micalizzi, Raèf Mina, Michele Minuto, G. Montecamozzo, Marco Moretti, Barbara Mullineris, Luigi Oragano, Mario Pacilli, N Palestini, Fatima Domenica Elisa De Palma, Livia Palmieri, Rebecca Panconesi, Piermarco Papini, A. Pasculli, Giovanna Pavone, Francesco Pedicini, Mariarosa Pelizzo, Teresa Perra, Angela Pezzolla, Daniele Pironi, Alberto Porcu, Francesco Quaglino, E Raggio, Gabriele Ricci, Luca Rosato, Leonardo Rossi, Grégorio Scerrino, D. Schiavone, Luca Sessa, Stefano Spiezia, C. Talarico, Nicola Tartaglia, Serena Elisa Tempera, I. N. Tiraboschi, Antonio Toniato, Emanuela Traini, Domenico Tripodi, Antonella Tudisco, Massimiliano Veroux · 发表于：Updates in Surgery · 年份：2025 · DOI：10.1007/s13304-025-02430-8 · 被引用次数：2 · 研究领域：Parathyroid Disorders and Treatments、Thyroid and Parathyroid Surgery、Pituitary Gland Disorders and Treatments

Abstract Primary hyperparathyroidism (PHPT) is a frequent endocrine disorder, with surgery as the only curative option. Despite evolving guidelines, real-life management remains variable across centers. A national survey was conducted among members of the Italian Society of Endocrine Surgery (SIUEC) to evaluate current practices in PHPT surgery, including the use of minimally invasive approaches and intraoperative parathyroid hormone (ioPTH) monitoring. Eighty-eight endocrine surgeons participated. Minimally invasive parathyroidectomy was the preferred approach, especially among high-volume surgeons. ioPTH was used by 83% of respondents, although its necessity in cases with concordant imaging was debated. Cervical ultrasound and 99m Tc-sestamibi were routinely used for localization; choline PET/CT was employed selectively. Significant differences emerged between low- and high-volume surgeons in surgical technique, ioPTH timing, and use of neuromonitoring. The survey highlights heterogeneity in the management of PHPT in Italy, suggesting room for standardization and broader guideline adherence. Efforts are needed to promote uniform, evidence-based practices nationwide.