Parathyroidectomy outcomes according to operative approach
| Autor: | Richard A. Prinz, Todd D. Beyer, Naris Nilubol, Carmen C. Solorzano, Fred Starr |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Parathyroidectomy medicine.medical_specialty medicine.medical_treatment Intact parathyroid hormone Parathyroid hormone Neck exploration Recurrence Monitoring Intraoperative medicine Humans Retrospective Studies Hyperparathyroidism business.industry Retrospective cohort study General Medicine Length of Stay Middle Aged Hyperparathyroidism Primary medicine.disease Surgery Persistent Disease Treatment Outcome Parathyroid Hormone Recurrent Laryngeal Nerve Injuries Operative time Calcium Female business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 193:368-373 |
| ISSN: | 0002-9610 |
| Popis: | Background: Parathyroidectomy for primary sporadic hyperparathyroidism (psHPT) has evolved with advances in preoperative gland localization and intraoperative parathyroid hormone (ioPTH) monitoring to minimally invasive approaches (MIPS). Methods: Two hundred twenty patients underwent parathyroidectomy for psHPT. Forty-nine patients underwent bilateral neck exploration (BNE) (group 1), 60 patients underwent BNE with ioPTH monitoring (group 2), and 111 patients underwent MIPS with ioPTH monitoring (group 3). Results: At 3 months postoperatively, mean serum calcium and intact parathyroid hormone (PTH) levels were similar between groups, and eucalcemia rates were 100%, 100%, and 99%. The ultimate rates of persistent disease and recurrence were also similar. Operative time was shorter in group 3 compared to group 2 (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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