An integrated approach for the surgical treatment of patients with primary hyperparathyroidism
This paper presents the treatment results of 75 patients with primary hyperparathyroidism (PHPT) caused by a solitary parathyroid adenoma (SPA). Patients in Group 1 had PHPT with concomitant diseases of the thy roid gland (TG). Group 2 consisted of patients with PHPT without thyroid disease. Group 3...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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Endocrinology Research Centre
2013-09-01
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| Series: | Эндокринная хирургия |
| Subjects: | |
| Online Access: | https://surg-endojournals.ru/serg/article/viewFile/6375/4221 |
| _version_ | 1818657024960888832 |
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| author | D D Dolidze R B Mumladze A V Vardanyan T D Dzhigkaev O N Siukaev M Shieh |
| author_facet | D D Dolidze R B Mumladze A V Vardanyan T D Dzhigkaev O N Siukaev M Shieh |
| author_sort | D D Dolidze |
| collection | DOAJ |
| description | This paper presents the treatment results of 75 patients with primary hyperparathyroidism (PHPT) caused by a solitary parathyroid adenoma (SPA). Patients in Group 1 had PHPT with concomitant diseases of the thy roid gland (TG). Group 2 consisted of patients with PHPT without thyroid disease. Group 3 included patients with PHPT and concurrent diseases of the parathyroid glands (PG) and thyroid gland, which were operated on without the use of the proposed integrated approach. Patients in groups 1 and 2 were operated on using the following techniques. Patients in group 1 underwent surgery usinga traditional incision with photodynamic visualization (PV) of the PG and exposure of the recur rent and superior laryngeal nerves (LN) (in some cases with the use of magnifying devices and neuromyog raphy). Patients in group 2 underwent surgery with minimally invasive access, utilizingendoscopic video devices and the universal retractor “Multifiks1”. During the intervention,PVof the PG and electrophysiolog ical monitoring (EM)of the recurrent LN were carried out. In groups 1 and 2, adequacy of the operationwas determined by the change in the level of intraoperative parathyroid hormone (PTH) and ionized calcium before and after the removal of the PG. Our proposed integrated method for the treatment of patients with PHPT allowed for a significant reduction in the risk of postoperative complications and consequently an improvement in quality of life. |
| first_indexed | 2024-12-17T03:34:55Z |
| format | Article |
| id | doaj.art-6600e9cdf7654ed295635af01092eaf2 |
| institution | Directory Open Access Journal |
| issn | 2306-3513 2310-3965 |
| language | Russian |
| last_indexed | 2024-12-17T03:34:55Z |
| publishDate | 2013-09-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Эндокринная хирургия |
| spelling | doaj.art-6600e9cdf7654ed295635af01092eaf22022-12-21T22:05:10ZrusEndocrinology Research CentreЭндокринная хирургия2306-35132310-39652013-09-0173414710.14341/serg2013341-476287An integrated approach for the surgical treatment of patients with primary hyperparathyroidismD D DolidzeR B MumladzeA V VardanyanT D DzhigkaevO N SiukaevM ShiehThis paper presents the treatment results of 75 patients with primary hyperparathyroidism (PHPT) caused by a solitary parathyroid adenoma (SPA). Patients in Group 1 had PHPT with concomitant diseases of the thy roid gland (TG). Group 2 consisted of patients with PHPT without thyroid disease. Group 3 included patients with PHPT and concurrent diseases of the parathyroid glands (PG) and thyroid gland, which were operated on without the use of the proposed integrated approach. Patients in groups 1 and 2 were operated on using the following techniques. Patients in group 1 underwent surgery usinga traditional incision with photodynamic visualization (PV) of the PG and exposure of the recur rent and superior laryngeal nerves (LN) (in some cases with the use of magnifying devices and neuromyog raphy). Patients in group 2 underwent surgery with minimally invasive access, utilizingendoscopic video devices and the universal retractor “Multifiks1”. During the intervention,PVof the PG and electrophysiolog ical monitoring (EM)of the recurrent LN were carried out. In groups 1 and 2, adequacy of the operationwas determined by the change in the level of intraoperative parathyroid hormone (PTH) and ionized calcium before and after the removal of the PG. Our proposed integrated method for the treatment of patients with PHPT allowed for a significant reduction in the risk of postoperative complications and consequently an improvement in quality of life.https://surg-endojournals.ru/serg/article/viewFile/6375/4221minimally -invasive parathyroidectomyprimary hyperparathyroidismparathy roid adenomaphotodynamic visualizationelectrophysiological nerve monitoringrecur rent laryngeal nerve |
| spellingShingle | D D Dolidze R B Mumladze A V Vardanyan T D Dzhigkaev O N Siukaev M Shieh An integrated approach for the surgical treatment of patients with primary hyperparathyroidism Эндокринная хирургия minimally -invasive parathyroidectomy primary hyperparathyroidism parathy roid adenoma photodynamic visualization electrophysiological nerve monitoring recur rent laryngeal nerve |
| title | An integrated approach for the surgical treatment of patients with primary hyperparathyroidism |
| title_full | An integrated approach for the surgical treatment of patients with primary hyperparathyroidism |
| title_fullStr | An integrated approach for the surgical treatment of patients with primary hyperparathyroidism |
| title_full_unstemmed | An integrated approach for the surgical treatment of patients with primary hyperparathyroidism |
| title_short | An integrated approach for the surgical treatment of patients with primary hyperparathyroidism |
| title_sort | integrated approach for the surgical treatment of patients with primary hyperparathyroidism |
| topic | minimally -invasive parathyroidectomy primary hyperparathyroidism parathy roid adenoma photodynamic visualization electrophysiological nerve monitoring recur rent laryngeal nerve |
| url | https://surg-endojournals.ru/serg/article/viewFile/6375/4221 |
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