Factors affecting the development of the parathyroid surgery Paratiroid cerrahisinin gelişimini etkileyen faktörler
Turkish Journal of Surgery, cilt.27, sa.2, ss.98-102, 2011 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 2
- Basım Tarihi: 2011
- Doi Numarası: 10.5097/1300-0705.ucd.831-11.01
- Dergi Adı: Turkish Journal of Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.98-102
- Anahtar Kelimeler: parathyroidectomy, minimal invasive, infiltration anesthesia, surgical experience
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The purpose of this study is to determine the factors affecting the development of parathyroid surgery in our hospital. Material and Method: We investigated the age, sex, laboratory, imaging and histopathologic data about the patients who had undergone parathyroid surgery between 2000 and 2010. We evaluated the methods used in diagnosis, determination of surgical indications, surgical and anesthesia techniques and the follow up period. We determined the data that can play a role in the process of diagnosis and treatment of this disease. Results: Until 2005 there were important deficienciesabout laboratory investigations and specialists for parathyroid surgery. These were resolved in 2006,except an experienced surgeon. There had been only 2 parathyroid operations until February 2010 (one in 2002 and the other in 2007). In 2008 there was a case with incidental parathyroid adenoma excisionduring a thyroidectomy. In 2009, with the inauguration of an experienced surgeon, the parathyroidsurgeries gained momentum. After this date, there were 28 parathyroid surgeries in 22 months. Twenty two of the cases had primary hiperparathyroidism and 6 had secondary hiperparathyroidism. Twenty one (95,5%) of the 22 parathyroid adenomas underwent MIP. Six patients with secondary hyperparathyroidismunderwent total parathyroidectomy and parathyroid autotransplantation. The success rate of the treatment was 100%. Conclusion: Parathyroid surgery is a team work. With an appropriate team, more than 90%of parathyroid adenomas can be treated by MIP.