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
1. Dedov I. I., Melnichenko G. A., Mokrysheva N. G. Rozhinskaya L. Ya., Kusnezov N. S., Pigarova E. A., Voronkova I. A., Lipatenkova A. K., Egshatyan L. V., Mamedova E. O., Krupinova Yu. A. Primary hyperparathyroidism: the clinical picture, diagnostics, differential diagnostics, and methods of treatment. Problems of Endocrinology. 2016;6:40-77. (In Russ.).
2. Yu N., Donnan P. T., Flynn R. W. V. et al. Increased mortality and morbidity in mild primary hyperparathyroid patients The Parathyroid Epidemiology and Audit Research Study (PEARS). Clinical Endocrinology. 2010;73: 30-33.
3. Khan A. A., Hanley D. A., Rizzoli R. et al. Primary hyperparathyroidism: review and recommendations on evaluation, diagnosis, and management. A Canadian and international consensus. Osteoporos Int. 2017;28(1):1-19.
4. Dedov I. I., Mokrysheva N. G., Mirnaya S. S. et al. Epidemiology of primary hyperparathyroidism in Russia (the first results from the database of Federal state institution «Endocrinological Research Centre»). Problems of Endocrinology. 2001;3:3-10. (In Russ.).
5. Bilezikian J. P., Brandi M. L., Eastell R. et al. Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the Fourth International Workshop. J Clin Endocrinol Metab. 2014;99(10):35619.
6. Wilhelm S. M., Wang T. S., Ruan D. T. et al. The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism. JAMA Surg. 2016;151(10):959-968.
7. Maistrenko N. A., Romashchenko P. N., Krivolapov D. S. Intraoperatsionnyi neiromonitoring pri traditsionnykh i maloinvazivnykh operatsiyakh na shchitovidnoi zheleze. Sciences of Europe. 2016;2(9):54-60. (In Russ.).
8. Abbaci M., De Leeuw F., Breuskin I., Casiraghi O., Lakhdar A. B., Ghanem W., Laplace-Builhe C., Hartl D. Parathyroid gland management using optical technologies during thyroidectomy or parathyroidectomy: A systematic review. Oral Oncology. 2018;87:186-196. Doi: 10.1016/j.oraloncology.2018.11.011.
9. Scattergood S., Marsden M., Kyrimi E. et al. Combined ultrasound and Sestamibi scintigraphy provides accurate preoperative localisation for patients with primary hyperparathyroidism. Ann R Coll Surg Engl. 2019. 101(2):97-102.
10. Van den Bos J., van Kooten L., Engelen S. M. E. et al. Feasibility of indocyanine green fluorescence imaging for intraoperative identification of parathyroid glands during thyroid surgery. Head & Neck. 2019;41:340-348. Doi: 10.1002/hed.25451.
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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