Parathyroidectomy: Localized versus Bilateral Exploration for Primary Hyperparathyroidism, a Discussion

Monday, October 19, 2026

1:00 PM - 2:00 PM PT

Location: 404B

Moderator(s)

VD

Vaninder Kaur Dhillon, MD

Associate Professor
Johns Hopkins University
Cabin John, MD, United States

Panelist(s)

Julia E. Noel, MD

Affiliate Associate Professor
Stanford University/Santa Clara Medical Center
San Jose, CA, United States
RT

Ralph P. Tufano, MD

Director, Thyroid and Parathyroid Center
Sarasota Memorial Health Care Center
Sarsota, FL, United States
MS

Michael C. Singer, MD

Director, Thyroid & Parathyroid Surgery
Henry Ford Health
Huntington Woods, MI, United States

Disclosure(s):

Vaninder Kaur Dhillon, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Julia E. Noel, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Ralph P. Tufano, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

This panel will discuss the utility of preoperative imaging for localization, review of the biochemical labs including calcium and parathyroid hormone levels preoperatively and the role of intraoperative parathyroid hormone and intraoperative pathology to help in assisting decision making in surgery so that post op cure is achieved. Finally, we will review literature looking at the role of adenoma vs four gland disease in certain case scenarios in order to help guide the surgical approach.

Learning Objectives:

Compare bilateral neck exploration and localized parathyroidectomy for primary hyperparathyroidism
Explain a systematic operative approach given a specific case scenario for bilateral neck exploration over localized parathyroidectomy.
Explain how different versions of hyperparathyroidism can guide surgical approach and favor a bilateral neck exploration