A new technique to simplify the minimally invasive parathyroidectomy: ultrasound-assisted guided wire localization for solitary parathyroid adenomas. | [Journal of Pakistan Medical Association • 2016]

Author(s):

1. Faruk Ozkul: Department of General Surgery, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

2. Muhammed Kasim Arik: Department of General Surgery, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

3. Mustafa Eroglu: Department of Endocrinology and Metabolism, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

4. Umut Faydaci: Department of General Surgery, Yakindogu University, Northern Cyprus, Turkey

5. Huseyin Toman: Anesthesia and Reanimation, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

6. Sukru Tas: Department of General Surgery, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

7. Kubilay Ukinc: Department of Endocrinology and Metabolism, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

8. Mehmet Asik: Department of Endocrinology and Metabolism, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey

Abstract:

Objective: To investigate the benefits of ultrasound-assisted guided wire localization in MIP for selected cases. Methods: In this prospective, nonrandomised study, we included 36 patients with solitary parathyroid adenomas diagnosed preoperatively by 99m Tc sesta MIBI scintigraphy and/or neck ultrasonography. An ultrasound-guided wire was placed in the solitary parathyroid adenoma preoperatively. MIPs were performed under local anaesthesia plus sedation. After the excision, the parathyroidectomy was confirmed with postoperative ultrasonography. Results: There were 36 patients included in our study. The mean age was 54.89±11.28 years, and 30 patients were females (83.3%). Preoperative PTH and calcium (Ca) levels were 269.5 pg/mL (83.5-5,000 pg/mL) and 12.2 mg/dL (11.1-20 mg/dL), respectively. Postoperative serum PTH and Ca levels were 42.04±26.65 pg/mL and 8.95±0.74 mg/dL, respectively. The mean operation time was 21.69±6.4 minutes and the average hospitalisation time was 18 hours (range: 10-72 hours). Conclusions: Ultrasound-assisted guided wire localization may be useful in selected MIP cases. The MIP advantages include higher success rates and being easy to learn and practise.

Page(s): 1427-1432

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 66, Issue: 11, Year: 2016

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views