ANALYSIS OF SAVINGS IN OPERATIVE TIME FOR PRIMARY HYPERPARATHYROIDISM USING LOCALIZATION WITH TECHNETIUM 99M SESTAMIBI SCAN

被引:55
作者
WEI, JP [1 ]
BURKE, GJ [1 ]
机构
[1] MED COLL GEORGIA, NUCL RADIOL SECT, AUGUSTA, GA 30912 USA
关键词
D O I
10.1016/S0002-9610(99)80336-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: The cost effectiveness of preoperative locaiization in cases of primary hyperparathyroidism has not been established. We analyzed the potential savings in operative time after localization with technetium 99m (Tc-99m) SeStamibi scan. METHODS: Thirty-three patients had localization of a solitary adenoma with (99)mTc-sestamibi. Measurement was made of the time required for adenomectomy, unilateral neck exploration (UNE), unilateral neck exploration and confirmation of one contralateral parathyroid gland (UNEC), or bilateral neck exploration (BNE). RESULTS: The total operative time in minutes was 76.4 +/- 18.8 for adenomectomy; 87.5 +/- 20.4 for UNE; 105.6 +/- 25.0 for UNEC; and 117.9 +/- 26.7 for BNE. The time difference was significant between adenomectomy versus UNE, UNEC, and BNE. There were also significant time differences between UNE versus UNEC and BNE. CONCLUSlONS: The preoperative localization of a solitary parathyroid adenoma may optimize operative time with UNE, saving approximately 30 minutes.
引用
收藏
页码:488 / 491
页数:4
相关论文
共 23 条
[1]  
CASAS AT, 1994, AM SURGEON, V60, P12
[2]  
CHEUNG PSY, 1989, ARCH SURG-CHICAGO, V124, P676
[3]  
CHIU ML, 1990, J NUCL MED, V31, P1646
[4]  
DOPPMAN J L, 1991, Journal of Bone and Mineral Research, V6, pS153
[5]   The gross anatomy of the parathyroid glands [J].
Gilmour, JR .
JOURNAL OF PATHOLOGY AND BACTERIOLOGY, 1938, 46 (01) :133-149
[6]   PRIMARY HYPERPARATHYROIDISM IN THE 1990S - CHOICE OF SURGICAL-PROCEDURES FOR THIS DISEASE [J].
KAPLAN, EL ;
YASHIRO, T ;
SALTI, G .
ANNALS OF SURGERY, 1992, 215 (04) :300-317
[7]   53 REOPERATIONS FOR HYPERPARATHYROIDISM [J].
KATZ, AD ;
FORMICHELLA, D .
AMERICAN JOURNAL OF SURGERY, 1989, 158 (04) :385-387
[8]  
LEVIN KE, 1989, ARCH SURG-CHICAGO, V124, P911
[9]   PREOPERATIVE LOCALIZATION AND INTERVENTIONAL TREATMENT OF PARATHYROID TUMORS - WHEN AND HOW [J].
MILLER, DL .
WORLD JOURNAL OF SURGERY, 1991, 15 (06) :706-715
[10]   PRIMARY HYPERPARATHYROIDISM - PREOPERATIVE LOCALIZATION USING TECHNETIUM SESTAMIBI SCANNING [J].
MITCHELL, BK ;
KINDER, BK ;
CORNELIUS, E ;
STEWART, AF .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1995, 80 (01) :7-10