Retrospective evaluation of the pre- and postoperative factors influencing the sensitivity of localization studies in primary hyperparathyroidism
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- 作者：Fabio Medas ; fabiomedas@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Enrico Erdas enricoerdas@medicina.unica.it" class="auth_mail" title="E-mail the corresponding author ; Alessandro Longheu alex1283@tiscali.it" class="auth_mail" title="E-mail the corresponding author ; Luca Gordini dr.lucagordini@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Giuseppe Pisano gpisano@unica.it" class="auth_mail" title="E-mail the corresponding author ; Angelo Nicolosi nicolosi@unica.it" class="auth_mail" title="E-mail the corresponding author ; Pietro Giorgio Calò ; pgcalo@unica.it" class="auth_mail" title="E-mail the corresponding author
- 关键词：Primary hyperparathyroidism ; Parathyroidectomy ; Parathyroid hormone ; Hypercalcaemia ; Thyroid disease
- 刊名：International Journal of Surgery
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：25
- 期：Complete
- 页码：82-87
- 全文大小：221 K
文摘
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Preoperative localization of a suspected adenoma is essential to perform mini invasive surgery in primary hyperparathyroidism.
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The main factors predicting a low reliability of preoperative localization studies are concomitant thyroid disease and discordant studies.
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In such cases a mini invasive approach is possible but intraoperative PTH monitoring is mandatory.