1- , safarpor@gums.ac.ir
Abstract: (8928 Views)
Abstract
Introduction: The success in parathyroid surgery depends on the preoperative localization of abnormal parathyroid glands. In primary hyperparathyroidism, Sestamibi scan successfully localizes the parathyroid adenoma. By preoperative localization the duration of operation is reduced.
Objective: The goal is to determine the impacts of preoperative sestamibi scan on the rate of success in the first exploration of neck and on the duration of operation in patients with primary hyperparathyroidism.
Materials and Methods: In a retrospective study the medical records of 28 patients with primary hyperparathyroidism who underwent parathyroidectomy during last 5 years (2000-2004) are reviewed.
Results: In 26 (92.8% of) patients the adenomas were at the same sites where were localized by the sestamibi scan. In one patient the adenoma was embedded in a thyroid nodul, and in another patient, the adenoma was ectopically located in the upper mediastinum. The duration of operation was 63±minutes. There was no serious complication.
Conclusion: By preoperative localization of the abnormal parathyroid glands in first exploration for primary hyperparathyroidism, the abnormal gland can be resected successfully in shorter duration.
Review Paper:
Research |
Subject:
Special Received: 2014/02/9 | Accepted: 2014/02/9 | Published: 2014/02/9