A new technique to simplify the minimally invasive parathyroidectomy: Ultrasound-assisted guided wire localization for solitary parathyroid adenomas

作者：Ozkul Faruk; Arik Muhammed Kasim; Eroglu Mustafa^*; Faydaci Umut; Toman Huseyin; Tas Sukru; Ukinc Kubilay; Asik Mehmet

来源：Journal of Pakistan Medical Association, 2016, 66(11): 1427-1432.

• parathyroid neoplasms
• Minimally invasive surgical procedures
• Parathyroidectomy
• Monitoring
• Intraoperative
• Ultrasonography

Objective: To investigate the benefits of ultrasound-assisted guided wire localization in MIP for selected cases.
Methods: In this prospective, nonrandomised study, we included 36 patients with solitary parathyroid adenomas diagnosed preoperatively by 99m Tc sesta MIBI scintigraphy and/or neck ultrasonography. An ultrasound-guided wire was placed in the solitary parathyroid adenoma preoperatively. MIPs were performed under local anaesthesia plus sedation. After the excision, the parathyroidectomy was confirmed with postoperative ultrasonography.
Results: There were 36 patients included in our study. The mean age was 54.89 +/- 11.28 years, and 30 patients were females (83.3%). Preoperative PTH and calcium (Ca) levels were 269.5 pg/mL (83.5-5,000 pg/mL) and 12.2 mg/dL (11.1-20 mg/dL), respectively. Postoperative serum PTH and Ca levels were 42.04 +/- 26.65 pg/mL and 8.95 +/- 0.74 mg/dL, respectively. The mean operation time was 21.69 +/- 6.4 minutes and the average hospitalisation time was 18 hours (range: 10-72 hours).
Conclusions: Ultrasound-assisted guided wire localization may be useful in selected MIP cases. The MIP advantages include higher success rates and being easy to learn and practise.

• 出版日期2016-11