ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Our Surgical Approach To Parathyroid Adenoma And The Role Of Localization Studies
Dr. Birol KORUKLUOĞLU, a Dr. Gülten KIYAK, b Dr. Ali ÇELİK, a Dr. Ali Erkan UÇAR, a Dr. Emre ERGÜL, a Dr. Ahmet KUŞDEMİRb
aGenel Cerrahi Kliniği, Ankara Atatürk Eğitim ve Araştırma Hastanesi,
bGenel Cerrahi Kliniği, Ankara Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, ANKARA
Objective: Formerly the treatment of the primer hyperparathyroidism (pHPT) was bilateral neck exploration, the identification of all parathyroid glands and the excision of the hyperplastic glands; however, recently with the aid of localization studies, focal exploration with unilateral surgical approach has been accepted. The aim of this study was to determine if the localization studies were adequate and to review the results of the patients we operated previously. Material and Methods: Fourteen patients who were operated for primer hyperparathyroidism were reviewed retrospectively. Localization studies were made by USG and parathyroid scintigraphy. Results: Ten (71.42%) out of 14 patients were females and 4 (28.57%) were males. The age of the patients ranged between 22 and 71; the mean age was 45.2. Only focal exploration and parathyroid adenom excision was carried out in 4 patients (28.57%) who had no thyroid pathologies. Ten patients (71.42%) who had thyroid pathologies underwent thyroidectomy. Blood calcium and parathormone values were decreased on postoperative day one in all patients but one (7.14%) whose adenoma excision was not successful. In three patients (21.42%) blood calcium levels were decreased and the excision of the adenom was confirmed histopathologicaly but the parathormone levels did not return to normal levels. Conclusion: In parathyroid adenomas, if USG and sestamibi scintigraphy points out the same localization focal exploration with unilateral surgical approach is adequate for the excision of the pathologic gland. However, in persistent and recurrent cases, visualization techniques like SPECT, sestamibi scintigraphy, computed tomography (CT) and magnetic resonance imaging (MRI) are required.Keywords: Parathyroidectomy; hyperparathyroidismTurkiye Klinikleri J Med Sci 2008, 28:24-29
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