FAQ’s about Endocrine Surgery

1. Does the Division of Endocrine Surgery offer minimally invasive parathyroidectomies?

The division has found that minimally invasive parathyroidectomy using a probe has not been beneficial. We instead use preoperative localization and the intraoperative assay of parathyroid hormone to guide the surgeon, through a “limited” parathyroidectomy, resulting in same-day discharge for most patients with operative success rate reported as 98 percent.

2. What is intraoperative assay?

This is a rapid measurement of excess hormone produced by hypersecreting gland(s) performed during surgery to quantitatively guide the surgeons during the procedure. With this surgical adjunct, surgeons know whether the patient has been cured before the operation is complete by measuring the hormone directly.

3. What is the usual hospital stay for the various procedures performed at the division?

Approximately 71 percent of the parathyroid cases are performed on an outpatient basis. For thyroid cases, patients should expect a 23-hour hospital stay. For adrenal gland cases, patients usually average four days in the hospital, unless the procedure is done laparoscopically, in which case patients can expect a two-three day hospital stay.

4. Who would perform my surgery?

All our Endocrine surgeons are Board Certified in General Surgery. They are also fellowship trained in Endocrine Surgery. They perform over 250 cases per year and also participate in Endocrine research.

5. Does the division offer a clinical fellowship in endocrine surgery?

Yes. All inquiries should go to Dr. John Lew, 305-243-4211.