Endocrine Surgery

Thyroidectomy

A thyroidectomy is a surgical procedure designed to remove all or part of the thyroid gland. Thyroidectomies are used to treat thyroid cancer, severe hyperthyroidism (Grave’s disease), or an enlarged thyroid (goiter). There are 3 different types of thyroidectomy surgery. A Total Thyroidectomy, used for aggressive cancer, goiter, and hyperthyroidism, removes the entire thyroid. A Subtotal or Partial Thyroidectomy removes half of the thyroid, and is used for treating localized (isolated) or less aggressive cancers. A Thyroid Lobectomy removes approximately ¼ of the gland, and is relatively rare. During a thyroidectomy, the surgeon makes an incision across the base of the front of the neck. The surgeon separates the trachea and the parathyroid from the thyroid, and removes the necessary part of the gland. Patients usually return to normal activities in one week.

Adrenalectomy

An adrenalectomy is a surgical procedure designed to remove one or both adrenal glands (located above the kidney). Adrenalectomies are used to treat cancerous or benign (non-cancerous) tumors that develop in the adrenal gland. The procedure is performed using traditional long incisions or laparoscopically. Traditional adrenalectomies use a horizontal incision under the rib cage, a vertical incision in the middle of the stomach, an incision along the back under the rib cage, or incisions on both sides of the body. The adrenal glands are then disconnected from associated blood vessels and removed. Laparoscopic adrenalectomies use 3 to 4 small incisions, small instruments, and a small tube with a camera on the end (the laparoscope). The abdomen is expanded by filling it with gas, and the camera is used to visualize the adrenal glands. A small plastic bag is inserted into the abdomen and used to collect the glands. Then, the bag is removed through an incision located in the belly button.

Minimally Invasive Radioguided Parathyroidectomy

Minimally Invasive Radioguided Parathyroidectomy (or "MIRP") is a newer surgical procedure designed to remove parathyroid tumors. The first step of a MIRP procedure involves injecting the four parathyroid glands with a small dose of a radioactive drug. A small geiger counter is then used to detect the hyperactive parathyroid gland or glands (which absorb radioactivity). The surgeon can utilize a small incision on a limited area of the neck to quickly locate and remove the affected gland rather than using a long incision that involves the entire neck and examining all 4 glands. The MIRP technique saves time (an average surgery lasts about one hour), results in less pain, shorter recovery time, and a higher cure rate than a traditional parathyroidectomy surgery. Patients typically return to normal activities within one week.



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Endocrine Surgery Thyroidectomy A thyroidectomy is a surgical procedure designed to remove all or part of the thyroid gland. Thyroidectomies are used to treat thyroid cancer, severe hyperthyroidism (Grave’s disease), or an enlarged thyroid (goiter). There are 3 different types of thyroidectomy surgery. A Total Thyroidectomy, used for aggressive cancer, goiter, and hyperthyroidism, removes the entire thyroid. A Subtotal or Partial Thyroidectomy removes half of the thyroid, and is used for treating localized (isolated) or less aggressive cancers. A Thyroid Lobectomy removes approximately ¼ of the gland, and is relatively rare. During a thyroidectomy, the surgeon makes an incision across the base of the front of the neck. The surgeon separates the trachea and the parathyroid from the thyroid, and removes the necessary part of the gland. Patients usually return to normal activities in one week. Adrenalectomy An adrenalectomy is a surgical procedure designed to remove one or both adrenal glands (located above the kidney). Adrenalectomies are used to treat cancerous or benign (non-cancerous) tumors that develop in the adrenal gland. The procedure is performed using traditional long incisions or laparoscopically. Traditional adrenalectomies use a horizontal incision under the rib cage, a vertical incision in the middle of the stomach, an incision along the back under the rib cage, or incisions on both sides of the body. The adrenal glands are then disconnected from associated blood vessels and removed. Laparoscopic adrenalectomies use 3 to 4 small incisions, small instruments, and a small tube with a camera on the end (the laparoscope). The abdomen is expanded by filling it with gas, and the camera is used to visualize the adrenal glands. A small plastic bag is inserted into the abdomen and used to collect the glands. Then, the bag is removed through an incision located in the belly button. Minimally Invasive Radioguided Parathyroidectomy Minimally Invasive Radioguided Parathyroidectomy (or "MIRP") is a newer surgical procedure designed to remove parathyroid tumors. The first step of a MIRP procedure involves injecting the four parathyroid glands with a small dose of a radioactive drug. A small geiger counter is then used to detect the hyperactive parathyroid gland or glands (which absorb radioactivity). The surgeon can utilize a small incision on a limited area of the neck to quickly locate and remove the affected gland rather than using a long incision that involves the entire neck and examining all 4 glands. The MIRP technique saves time (an average surgery lasts about one hour), results in less pain, shorter recovery time, and a higher cure rate than a traditional parathyroidectomy surgery. Patients typically return to normal activities within one week.	Advanced Laparoscopy General Surgery Breast Surgery Surgical Oncology Colorectal Surgery Arizona's leaders in the field of general and laparoscopic surgery now offers treatment for... hyperparathyroidism, which untreated can result in accellerated osteoporasis, kidney stones and psychiatric conditions.