Minimally invasive ultrasonography guided parathyroidectomy
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Primer hiperparatiroidizm olgularının %85- 90’ının nedeni tek adenomdur ve bu adenomun çıkarılması ile tedavi sağlanabilir. Bu tek adenomlu hastaların teşhisinde yaygın olarak paratiroid ultrasonografi (US) ve Tc-99m sestamibi sintigrafi kullanılır. Bu çalışmanın amacı; paratiroid adenomunu belirlemede ultrason rehberliğinde minimal invaziv paratiroidektomi tekniğinin etkinliğini göstermektir. Gereç ve yöntem: Bu retrospektif çalışmada 2006-2009 yılları arasında paratiroid adenomektomi için genel cerrahi kliniğine yönlendirilmiş 16 hastaya minimal invaziv ultrason rehberliğinde paratiroidektomi (MIUGP) uygulandı. Paratiroid US ve Tc-99m sestamibi sintigrafi ile paratiroid adenom teşhisi konan hastalar cerrahiye hazırlandı. Bulgular: Operasyon gününün sabahında adenomun lokalizasyonu tekrar US ile doğrulandı ve cilt üzerine kalem ile işaretlendi. Lokal anestezi ile işaretli alandan yapılan küçük bir insizyonla adenom çıkarıldı. Tartışma: Bu makalede, uyguladığımız MIUGP’nin uygulaması kolay, maliyeti düşük, hastanın işaretlemeden hemen sonra ameliyata alınabilmesi, radyasyon içermemesi ve lokal anestezi ile yapılabilmesi gibi avantajları sebebiyle deneyimli paratiroid cerrahları tarafından uygun bir teknik olarak güvenle yapılabileceğini düşünmekteyiz.
Aim: In 85-90% of cases primary hyperparathyroidism is the result of a single adenoma and can be cured by the removal of this adenoma. Parathyroid ultrasonography (US) and Tc-99m sestamibi scanning are the most commonly used techniques in the identification of patients with a single adenoma. The aim of this study was to show the effectiveness of minimally invasive parathyroidectomy (MIP) technique performed under US guidance. Material and methods: In this retrospective study the hospital records of 16 patients referred to the Department of General Surgery for parathyroid adenomectomy were reviewed. The patients, admitted between 2006–2009, were all treated with minimally invasive ultrasound guided parathyroidectomy (MIUGP). The patients diagnosed with parathyroid adenoma by parathyroid ultrasonography (US) and Tc- 99m sestamibi scanning were prepared for surgery. Results: On the morning of operation day, location of the adenoma was confirmed by a repeat ultrasonography and the skin was marked with a marker pen. The adenoma was removed from the marked region with a small incision under local anesthesia. Conclusion: In this article we describe our technique of MIUGP with marking of the skin, an inexpensive and relatively easy technique which includes no irradiation. Because the operation is possible immediately after marking the location of the lesion and requires only local anesthesia , MIUGP can be used safely by experienced parathyroid surgeons.
Aim: In 85-90% of cases primary hyperparathyroidism is the result of a single adenoma and can be cured by the removal of this adenoma. Parathyroid ultrasonography (US) and Tc-99m sestamibi scanning are the most commonly used techniques in the identification of patients with a single adenoma. The aim of this study was to show the effectiveness of minimally invasive parathyroidectomy (MIP) technique performed under US guidance. Material and methods: In this retrospective study the hospital records of 16 patients referred to the Department of General Surgery for parathyroid adenomectomy were reviewed. The patients, admitted between 2006–2009, were all treated with minimally invasive ultrasound guided parathyroidectomy (MIUGP). The patients diagnosed with parathyroid adenoma by parathyroid ultrasonography (US) and Tc- 99m sestamibi scanning were prepared for surgery. Results: On the morning of operation day, location of the adenoma was confirmed by a repeat ultrasonography and the skin was marked with a marker pen. The adenoma was removed from the marked region with a small incision under local anesthesia. Conclusion: In this article we describe our technique of MIUGP with marking of the skin, an inexpensive and relatively easy technique which includes no irradiation. Because the operation is possible immediately after marking the location of the lesion and requires only local anesthesia , MIUGP can be used safely by experienced parathyroid surgeons.
Açıklama
Anahtar Kelimeler
Endokrinoloji ve Metabolizma
Kaynak
Endokrinolojide Diyalog Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
1
