Transorale partielle Parathyreoidektomie
作者： E. Karakas , T. Steinfeldt , A. Gockel , A. Sesterhenn , D.K. Bartsch
DOI: 10.1007/S00104-010-1922-6
关键词:
摘要: Die Weiterentwicklung minimal-invasiver chirurgischer Verfahren mit dem Ziel der Minimierung des operativen Traumas und Reduktion perioperativen Morbiditat hat zur „natural orifice transluminal endoscopic surgery“ (NOTES) gefuhrt. Dabei werden naturliche Korperoffnungen als Zugang fur die Eingriffe genutzt. embryonale Entwicklung von Schilddruse Nebenschilddrusen aus den Schlundtaschen ihrem Deszensus entlang Ductus thyreoglossus lasst Mundboden machbaren naturlichen transorale Nebenschilddrusen- Schilddursenoperationen erscheinen. Nachdem wir in tierexperimentellen Untersuchungen Leichenexperimenten einen rein transoralen Schilddrusenloge etablieren Operationstechnik optimieren konnten, berichten nun uber erste Exstirpation eines Nebenschilddrusenadenoms bei einer 37-jahrigen Patientin primarem Hyperparathyreoidismus.
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