Minimally invasive video-assisted subtotal parathyroidectomy with thymectomy for secondary hyperparathyroidism.
Langenbecks Arch Surg
; 394(3): 451-5, 2009 May.
Article
en En
| MEDLINE
| ID: mdl-18726112
BACKGROUND: Secondary hyperparathyroidism (sHPT) is common in patients with chronic renal failure. Bilateral cervical exploration is optimal for patients with sHPT. The aims of this clinical trial are to evaluate the feasibility of video-assisted subtotal parathyroidectomy as an alternative surgical treatment for sHPT. METHODS: This prospective study included 12 consecutive patients with sHPT. Surgical indications included a high intact parathormone level, enlarged parathyroid glands, high bone turnover and conditions refractory to medical treatment of hypercalcemia and hyperphosphatemia. RESULTS: All patients underwent minimally invasive video-assisted subtotal parathyroidectomy and trans-cervical thymectomy. Four cervical glands were found in all patients and intrathymic glands were identified in three (25%) patients. CONCLUSION: Minimally invasive video-assisted subtotal parathyroidectomy offers an alternative method, and this technique can be performed safely for sHPT.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Paratiroidectomía
/
Cirugía Asistida por Video
/
Hiperparatiroidismo Secundario
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Langenbecks Arch Surg
Año:
2009
Tipo del documento:
Article
País de afiliación:
Turquía
Pais de publicación:
Alemania