Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy
Objective. Show our experience performing the minimally invasive video-assisted parathyroidectomy with central approach for the treatment of patients with primary hyperparathyroidism without using intraoperative parathyroid hormone monitoring (IPTHM) based solely on the concordance of two preoperati...
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Formato: | Artículo revista |
Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2017
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Materias: | |
Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/15594 |
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I10-R10article-15594 |
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institution |
Universidad Nacional de Córdoba |
institution_str |
I-10 |
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R-10 |
container_title_str |
Revistas de la UNC |
language |
Español |
format |
Artículo revista |
topic |
parathyroidectomy MIVAP MIBI primary hyperparathyroidism ultrasound. paratiroidectomía hiperparatiroidismo primario ecografía |
spellingShingle |
parathyroidectomy MIVAP MIBI primary hyperparathyroidism ultrasound. paratiroidectomía hiperparatiroidismo primario ecografía Gramática, Luis Cecenarro, Rodolfo Raúl Antueno, Facundo Jorge Villablanca, Noelia Susana Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy |
topic_facet |
parathyroidectomy MIVAP MIBI primary hyperparathyroidism ultrasound. paratiroidectomía hiperparatiroidismo primario ecografía |
author |
Gramática, Luis Cecenarro, Rodolfo Raúl Antueno, Facundo Jorge Villablanca, Noelia Susana |
author_facet |
Gramática, Luis Cecenarro, Rodolfo Raúl Antueno, Facundo Jorge Villablanca, Noelia Susana |
author_sort |
Gramática, Luis |
title |
Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy |
title_short |
Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy |
title_full |
Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy |
title_fullStr |
Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy |
title_full_unstemmed |
Primary Hyperthyroidism. Minimally invasive video-assisted parathyroidectomy |
title_sort |
primary hyperthyroidism. minimally invasive video-assisted parathyroidectomy |
description |
Objective. Show our experience performing the minimally invasive video-assisted parathyroidectomy with central approach for the treatment of patients with primary hyperparathyroidism without using intraoperative parathyroid hormone monitoring (IPTHM) based solely on the concordance of two preoperative localization studies.Material and methods. An informed consent for the accomplishment of a minimally invasive approach was performed on 27 selected patients diagnosed with primary hyperparathyroidism who underwent pre-operative cervical ultrasound and sesta-MIBI scintigraphy studies, which were consistent across them. None had a family history that might indicate a multiple endocrine neoplasia (MEN), known thyroid disease, previous neck incision, or suspicion of carcinoma. Surgery was performed through a 1.5 cm central cervical incision and the use of harmonic scalpel. IPTHM was not performed in either case.Results. In all cases the topographic location of the adenoma was confirmed. No signs of hyperparathyroidism persistence or recurrence were registered after a follow-up period of 42 months. There were no recurrent nerve lesions. The average operative time was 24.5 minutes and all patients were discharged within 24 hours. The analgesic requirement was minimal and the cosmetic result satisfactory.Conclusion: The minimally invasive unilateral exploration of the parathyroids with video-assisted magnification without IPTHM, under the guidance of two concordant localization studies is safe and feasible, with comparable results to those of standard technique as well as aesthetic advantages, less postoperative pain and reduced hospitalization. |
publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
publishDate |
2017 |
url |
https://revistas.unc.edu.ar/index.php/med/article/view/15594 |
work_keys_str_mv |
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bdutipo_str |
Revistas |
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