medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2011, Number 3

<< Back Next >>

An Med Asoc Med Hosp ABC 2011; 56 (3)

Primary hyperparathyroidism: Surgical approach with minimal invasion

Cervantes CJ, Rojas RGA, Posada TJA, Manzano AF, Krouham LA, Kraus WA

Language: Spanish
References: 30
Page: 121-125
PDF size: 50.67 Kb.


ABSTRACT

Primary hyperparathyroidism (PHPT) is a disease that has been detected more frequently in recent decades due to the use of auto analyzers in routine blood tests. Typically patients are asymptomatic or have very nonspecific symptoms. Most cases of PHPT are due to an adenoma of any of the four parathyroid glands. Traditional surgery involved the search of all glands to identify the one with the adenoma causing the disease. With the advent of nuclear medicine studies to detect the site of the adenoma, ultrasound techniques and minimally invasive surgery, PHPT can be cured with safe procedures, less complications, short hospitalization and reduced costs. We present the experience with the management of 22 cases of PHPT operated in a recent period of 10 years analyzing the lessons learned in handling this pathology in the light of new diagnostic and therapeutic modalities.


REFERENCES

  1. Gagner M. Endoscopic Parathyroidectomy. Br J Surg 1996; 85: 875.

  2. Lew J, Solorzano C. Surgical management of primary hyperparathyroidism: State of the art. Surg Clin N Am 2009; 1205-1219.

  3. Mozzon M, Mortier P, Jacob P et al. Surgical management of primary hyperparathyroidism. Ann Surg 2004; 240: 949-954.

  4. Baliski Ch, Stewart J, Anderson D et al. Selective unilateral parathyroid exploration: An effective treatment for primary hyperparathyroidism. Am J Surg 2004; 189: 596-600.

  5. Russell C. Unilateral neck exploration for primary hyperparathyroidism. Surg Clin N 2004; 84: 705-716.

  6. Uldesman R, Donovan PL, Sokoll LJ. One hundred consecutive minimally invasive parathyroid explorations. Ann Surg 2000; 233: 331-339.

  7. Cervantes J, Rojas G, Manzano F, Krouham A, García R, Ortíz HC, Baquera J. Hiperparatiroidismo primario. Experiencia inicial con cirugía de invasión mínima. Cir Cir 2002; 70: 150-156.

  8. Mullan B. Nuclear medicine imaging of the parathyroid. Otolaryngol Clin N Am 2004; 37 909-939.

  9. Ruda J, Stack B, Hollenbeak C. The cost-effectiveness of sestamibi scanning compared to bilateral neck exploration for the treatment of primary hyperparathyroidism. Otoryngol Clin N Am 2004; 37: 855-870.

  10. Lo Ch, Lang B, Chan W et al. A prospective evaluation of preoperative localization by technetium-99m sestamibi scintigraphy and ultrasonography in primary hyperparathyroidism. Am J Surg 2007; 193: 155-159.

  11. Dackiw A, Sussman J, Fritsche H et al. Relative contributions of technetium tc 99m sestamibi scintigraphy, intraoperative gamma probe detection, and the rapid parathyroid hormone assay to the surgical management of hyperparathyroidism. Arch Surg 2002; 135: 550-557.

  12. Cervantes J, Rojas G, Manzano F, Krouham A, García R, Ortiz HC, Baquera HJ, Asz J. Cirugía radio guiada en hiperparatiroidismo primario. Rev Gland Tiroides y Paratiroides 2002; 3: 15-18.

  13. Cervantes J, Rojas G, Ortiz R, Baquera HJ, Ortiz HC, Manzano AF, Lezama RMA. Resección de adenoma paratiroideo ectópico retroesternal con técnica de invasión mínima radio-guiada. Informe de un caso. Cir Gen 2001; 23 (2): 105-108.

  14. Cervantes J, Rojas G, Krouham A, et.al. Cirugía de mínima invasión radiogiada en hiperparatiroisdismo primario. Anales Medicos Hospital ABC 2002; 47: 206-210.

  15. Beyer T, Solorzano C, Starr F, Nilubol N et al. Parathyroidectomy outcomes according to operative approach. Am J Surg 2006; 193 368-373.

  16. Goasguen N, Chirica M, Roger N et al. Primary hyperparathyroidism for parathyroid microadenoma: Specific features and implications for surgical strategy in the era of minimally invasive parathyroidectomy. Am Coll Surg 2010; 456-464.

  17. McGill J, Sturgeon C, Kapan S et al. How does the operative strategy for primary hyperparathyroidism impact the findings and cure rate? A comparison of 800 parathyroidectomies. Am Coll Surg 2008; 207: 246-249.

  18. Gross N, Wax M. Unilateral and bilateral surgery for parathyroid disease. Otolaryngol Clin Am 2004; 37: 799-817.

  19. Goldstein RE, Blevins L, Delbeke D, Martin WH. Effect of Minimally invasive radioguided parathyroidectomy of efficacy, length of stay, and costs in the management of primary hyperparathyroidism. Ann Surg 2000; 231-242.

  20. García Vicente A, Soriano Castrejón A, Rodado Marina S, Martín J, Hernández J. Minimally invasive parathyroid surgery: scintigraphy with 99m Tc-sestamibi and radioguided probe surgery: Preliminary results. Rev Esp Med Nucl 200; 19: 403-408.

  21. Casara D, Rubello D, Piotto A, Carretto E, Pelizzo MR. 99mTc-MIBI Radioguided surgery for limited invasive parathyroidectomy. Tumori 2000; 86: 370-371.

  22. Van Vroonhoven TJ, van Dalen A. Successful minimally invasive surgery in primary hyperparathyroidism after combined preoperative ultrasound and computed tomography imaging. J Intern Med 1998; 243: 581-587.

  23. Howe JR. Minimally invasive parathyroid surgery. Surg Clin North Am 2000; 80: 1399-1426.

  24. Lowney JK, Weber B, Johnson S, Dohernty GM. Minimal incision parathyroidectomy: Cure, cosmetics, and cost. World J Surg 2000; 24: 1442-1445.

  25. Sokoll Lori J. Measurement of parathyroid hormone and application of parathyroid hormone in intraoperative monitoring. Clin Lab Med 2004; 24: 199-216.

  26. Gil-Cardenas A, Pantoja J, Herrera M. Is intraoperative parathyroid hormone assay mandatory for the success of targeted parathyroidectomy?. Am J Surg 2007; 204: 286-289.

  27. Johnson L, Doherty G, Lairmore T et al. Evaluation of the performance and clinical impact of a rapid intraoperative parathyroid hormone assay in conjunction with preoperative imaging an concise parathyroidectomy. Clin Chem 2001; 47: 919-925.

  28. Mandell D, Genden E, Bergman D et al. The influence of intraoperative parathyroid hormone monitoring on the surgical management of hyperparathyroidism. Arch Otolarycol Head and Neck 2001; 127: 821-827.

  29. Emmolo I, Corso H, Borretta G et al. Unexpected results using rapid intraoperative parathyroid hormone monitoring during parathyroidectomy for primary hyperparathyroidism. W J Surg 2005; 29: 785-788.

  30. Posada J. Utilidad de la determinación rápida de PTH como indicador de curación en pacientes con Hiperparatiroidismo primario tratados mediante cirugía de mínima invasión en el Centro Médico ABC. Tesis profesional para obtener el título de Cirujano General. México: UNAM; 2010.




2020     |     www.medigraphic.com