New standard of evidence and safety in the parathyroid surgery
https://doi.org/10.24884/0042-4625-2020-179-1-58-62
Abstract
The paper presents a clinical case that reflects difficulties of primary hyperparathyroidism diagnosis, as well as an experience of usage of new methods in parathyroid surgery, which aims at increasing degree of evidence and safety of interventions. The sequence of the implemented methods of laboratory and instrumental examination made it possible to identify the accurate location of parathyroid adenomas, and realization of the proposed surgical tactics - to perform a surgical intervention justified in terms of volume and methodology, to avoid postoperative complications and improve the patient's quality of life.
About the Authors
P. N. Romashchenko
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Romashchenko Pavel N. - Dr. of Sci. (Med.), Professor, head of the Department of Faculty Surgery, Military Medical Academy.
6, Academika Lebedeva str., Saint Petersburg, 194044.
Competing Interests:
The authors declare no conflict of interest.
N. A. Maistrenko
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Maistrenko Nikolay A. - Dr. of Sci. (Med.), Professor, professor of the Department of Faculty Surgery, Military Medical Academy.
6, Academika Lebedeva str., Saint Petersburg, 194044.
Competing Interests:
The authors declare no conflict of interest.
D. S. Krivolapov
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Krivolapov Denis S. - chief surgical resident of the Department of Faculty Surgery, Military Medical Academy.
6, Academika Lebedeva str., Saint Petersburg, 194044.
Competing Interests:
The authors declare no conflict of interest.
D. O. Vshivtsev
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Vshivtsev Dmitriy O. - surgical resident of the Department of Faculty Surgery, Military Medical Academy.
6, Academika Lebedeva str., Saint Petersburg, 194044.
Competing Interests:
The authors declare no conflict of interest.
References
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Review
For citations:
Romashchenko P.N., Maistrenko N.A., Krivolapov D.S., Vshivtsev D.O. New standard of evidence and safety in the parathyroid surgery. Grekov's Bulletin of Surgery. 2020;179(1):58-62. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-1-58-62
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