Endoscopic Parathyroid Surgery: Results of 365 Consecutive Procedures
作者： Jean-Fran�ois Henry , Fr�d�ric Sebag , Paola Tamagnini , C�line Forman , Horatiu Silaghi
DOI: 10.1007/S00268-004-7601-3
关键词:
摘要: In recent years, several series have documented the feasibility of endoscopic approaches for parathyroid diseases. We performed a retrospective study to evaluate results parathyroidectomy (EP) in management our patients with primary hyperparathyroidism (PHPT). During 5.5 year period (1998–2003), we operated on 644 PHPT. EP was proposed sporadic PHPT, without associated goiter, and previous neck surgery whom single adenoma localized by means sonography sestamibi scanning. lateral approach insufflation an located deep gasless midline whose anteriorly. A quick (QPTH) assay used during surgical procedures. Among 279 (43.3%) were not eligible following reasons: nodular goiter (116 cases), (52 suspicion multiglandular disease (31 lack preoperative localization (61 miscellaneous causes (19 cases). 365 PHPT: 339 access, 25 one thoracoscopy. The median operating time 49 minutes (16–130 minutes). Conversion conventional required (13.4%) these missed adenomas (14 difficulty dissection (8 correctly predicted QPTH (11 false-negative (4 false-positive scan 1 result. One patient presented definitive recurrent nerve palsy. Three remained hypercalcemic, other had hypercalcemia. conclusion, can be more than half Immediate are similar those obtained parathyroidectomy, but no conclusions drawn terms influence outcome
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