Improvement of minimally invasive parathyroidectomy outcomes by real time ultrasonography performed by a surgeon and radiologist team

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dc.contributor.authorUslukaya, Omer
dc.contributor.authorGumus, Metehan
dc.contributor.authorTasdemir, Bekir
dc.contributor.authorGoya, Cemil
dc.contributor.authorKilinc, Faruk
dc.contributor.authorOguz, Abdullah
dc.contributor.authorTurkoglu, Ahmet
dc.date.accessioned2024-04-24T17:11:51Z
dc.date.available2024-04-24T17:11:51Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractAims: Minimally invasive parathyroidectomy (MIP) has become the first line of treatment for primary hyperparathyroidism caused by solitary parathyroid adenoma. In order to increase the sensitivity of high-resolution ultrasonography (hUS), surgeon performed ultrasonography (SUS) has been increasingly used preoperatively. However, a radiologist and surgeon performing ultrasonography (RSUS) has not been a usual practice. In this study, we aimed to evaluate the clinical contribution of RSUS on MIP. Material and methods: From 2012 to 2014, a total of 30 consecutive patients (4 male, 26 female, mean age 48.87 +/- 14.52 years) with solitary parathyroid adenoma, were included in the study. All patients underwent preoperative hUS and Technetium-99m sestamibi scintigraphy. In patients, demographic characteristics, diagnostic tools used, levels of biochemical parameters, duration of operation, and length of hospital stay were recorded. Results: Adenomas were successfully localized by US in all patients and the surgical approach was determined according to this localization. Parathyroidectomy with MIP was successfully performed under local anesthesia in all patients. Mean operation time was 19.87 +/- 3.35 min. Postoperative PTH and calcium values were significantly decreased. All patients were discharged from the hospital in the same day. None of the patients had complications such as recurrent laryngeal nerve injury, hematoma, or injury to nearby organs. None of the patients had drains placed. Conclusions: Adenoma is well localized by US and thus, MIP can be completed under local anesthesia. US provides a very important clinical contribution to the success of MIP. In addition to these, RSUS helps in determining the location of the incision and the shortest way to achieve the lesion; therefore, it provides a small incision and shortens duration of the operation with a minimal dissection.en_US
dc.identifier.doi10.11152/mu.2013.2066.173.oky
dc.identifier.endpage321en_US
dc.identifier.issn1844-4172
dc.identifier.issn2066-8643
dc.identifier.issue3en_US
dc.identifier.pmid26343079
dc.identifier.scopus2-s2.0-84941272528
dc.identifier.scopusqualityQ2
dc.identifier.startpage315en_US
dc.identifier.urihttps://doi.org/10.11152/mu.2013.2066.173.oky
dc.identifier.urihttps://hdl.handle.net/11468/17752
dc.identifier.volume17en_US
dc.identifier.wosWOS:000361599700009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSoc Romana Ultrasonografe Medicina Biologie-Srumben_US
dc.relation.ispartofMedical Ultrasonography
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectParathyroid Adenomaen_US
dc.subjectUltrasounden_US
dc.subjectPreoperative Procedureen_US
dc.subjectMinimal Access Parathyroidectomyen_US
dc.titleImprovement of minimally invasive parathyroidectomy outcomes by real time ultrasonography performed by a surgeon and radiologist teamen_US
dc.titleImprovement of minimally invasive parathyroidectomy outcomes by real time ultrasonography performed by a surgeon and radiologist team
dc.typeArticleen_US

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