SURGICAL TREATMENT OF PRIMARY HYPERPARATHYROIDISM
https://doi.org/10.51523/2708-6011.2016-13-3-15
Abstract
Primary hyperparathyroidism (PHPT) is a disease developing as a result of primary lesion of the parathyroid gland (PTG) (adenoma, hyperplasia, cancer) and conditioned by the hyperproduction of parathyroid hormone and is declared in imbalance of calcium, phosphorus, affection of bone system and/or internal organs. Surgery is the only acceptable and pathogenetically grounded method of PHPT-correction. In modern endocrine surgery there is no unanimous opinion about common approaches to the surgical treatment of PTG pathology. At the present moment, different kinds of surgical inventions are applied. The most widely used method is classical Kocher`s incision of the parathyroid gland. However, the minimal access combined with different kinds of anesthetic support is gaining importance. This article provides the results of the examination of 200 after parathyroidectomy after the use of different methods of surgical support.
About the Authors
A. V. Velichko
Republican Research Center for Radiation Medicine and Human Ecology
Belarus
Belarus
Z. A. Dundarov
Gomel State Medical University
Belarus
Belarus
V. V. Pokhozhai
Gomel State Medical University
Belarus
Belarus
S. L. Zyblev
Gomel State Medical University
Belarus
Belarus
References
1. Фархутдинова, Л. М. Первичный гиперпаратиреоз: проблемы и пути решения / Л. М. Фархутдинова // Медицинский вестник Башкортостана. - 2010. - № 1. - С. 65-70.
2. Никонова, Л. В. Гиперпаратиреоз. Часть I / Л. В. Никонова, В. Н. Волков, С. В. Тишковский // Журнал ГГМУ. - 2005. - № 3. - С. 12-16.
3. Эпидемиология первичного гиперпаратиреоза / И. И. Дедов [и др.] // Проблемы эндокринологии. - 2010. - № 5. - С. 3-7.
4. The Diabets audit and research in tay side Scotland (DARTS) study: electronic record linkage to create a diabetes register / A. D. Morris [et al.] // DARTS/MEMO Collaboration. Br med J. - 1997. - Vol. 315, № 3. - Р. 524-528.
5. Epidemiology of Primary Hyperparathyroidism in Europe - report commissioned by Amgen / The Mattson Jack Group // Ref Type: Report. - 2003.
6. Этиология, патогенез, клиническая картина, диагностика и лечение первичного гиперпаратиреоза / И. И. Дедов [и др.] // Остеопороз и остеопатии. - 2010. - № 1. - С. 13-18.
7. Bart, L. Primary Hyperparathyroidism and Hypoparathyroidism / L. Bart // Hospital physician. - 2000. - Vol. 2, № 1. - Р. 2-12.
8. Randolph, G. W. Surgery of the thyroid and parathyroid glands / G. W. Randolph. - Philadelphia: Elsevier Science (USA), 2003. - P. 620.
9. Reoperative parathyroid surgery in the era of sestamibi scanning md intraoperative parathyroid hormone monitoring / G. B. Thompson [et al.] // Arch.Surg. - 1999. - Vol. 134. - P. 699-705.
10. Малоинвазивные операции в лечении первичного гиперпаратиреоза / И. В. Слепцов [и др.] // Эндокринная хирургия. - 2012. - № 4. - С. 24-33.
11. Worldwide trends in the surgical treatment of primary hyperparathyroidism in the era of minimally invasive parathyroidectomy / W. R. Sackett [et al.] // Arch Surg. - 2002. - Vol. 137. - P. 1055-1059.
12. Голохвастов, Н. Н. Гиперкальциемия. Первичный гипер-паратиреоз / Н.Н. Голохвастов. - СПб.: Гиппократ, 2003. - 134 с.
13. Is robotic parathyroidectomy a feasible and safe alternative to targetedopen parathyroidectomy for the treatment of primary hyperparathyroidism? / G. Garas [et al.] // International Journal of Surgery. - 2015. - Vol. 15 - P. 55-60.
Review
For citations:
Velichko A.V., Dundarov Z.A., Pokhozhai V.V., Zyblev S.L. SURGICAL TREATMENT OF PRIMARY HYPERPARATHYROIDISM. Health and Ecology Issues. 2016;(3):70-76. (In Russ.) https://doi.org/10.51523/2708-6011.2016-13-3-15
Views: 307
Email this article 