Selective unilateral parathyroidectomy with measurement of parathyroid hormone. Report of 80 cases.

被引:9
作者
Kauffmann, P
Le Bouedec, G
Ptak, Y
Vennat, JC
Dauplat, J
机构
[1] Ctr Reg Lutte Contre Canc Jean Perrin, Serv Chirurg, F-63011 Clermont Ferrand 1, France
[2] Ctr Reg Lutte Contre Canc Jean Perrin, Serv Methodes Phys, F-63011 Clermont Ferrand, France
[3] Ctr Reg Lutte Contre Canc Jean Perrin, Serv Radiopharm Radioanalyse, F-63011 Clermont Ferrand 1, France
来源
ANNALES DE CHIRURGIE | 2000年 / 125卷 / 02期
关键词
minimal invasive surgery; cervical ultrasonography; primary hyperparathyroidism; parathyroid hormone;
D O I
10.1016/S0001-4001(00)00107-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
Study aim: The aim of this study was to report a series of 80 patients treated by unilateral neck exploration for a sporadic primary hyperparathyroidism. Patients and method: Between April 1992 and November 1998, 80 patients (65 women and 15 men, mean age :63.5 years) with a single gland enlargement localized by ultrasonography, were operated on through a short unilateral neck incision, under general anesthesia in 72 cases and local in eight cases. The enlarged gland was removed with intraoperative pathological examination and intraoperative monitoring of parathyroid hormone. Results: Mean duration of surgery was 25 minutes. There was no postoperative mortality or morbidity. Mean duration of hospital stay was two days. The enlarged gland was an adenoma in 75 cases and an hyperplasia in five. Adequate intraoperative parathyroid hormone decrease was observed. Postoperative calcemia was normal in 78 patients (97.5 %). Among 76 surviving patients, with a 31-month follow-up, there was only a suspicion of persistant hyperparathyroidism in two patients. Conclusions: Minimal invasive approach by unilateral neck exploration may be performed with safety and efficiency in patients with a single gland enlargement under intraoperative monitoring of parathyroid hormone. (C) 2000 Editions scientifiques et medicales Elsevier SAS.
引用
收藏
页码:149 / 154
页数:6
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