Own experience of the use of video-assisted parathyroidectomy for treatment of patients with primary hyperparathyroidism

Authors

  • N. I. Boyko Danylo Halytskyi Lviv National Medical University
  • V. V. Khomyak Danylo Halytskyi Lviv National Medical University
  • O. M. Lerchuk Lviv Regional Clinical Hospital
  • I. M. Pavlovskyi Danylo Halytskyi Lviv National Medical University
  • O. V. Lukavetskyy Danylo Halytskyi Lviv National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.1.10743

Keywords:

videoassisted parathyroidectomy, treatment, primary hyperparathyroidism

Abstract

The aim of the work: to study the advantages and disadvantages of video-assisted parathyroidectomy.

Materials and Methods. In our clinic, from February 2010 to February 2019, 103 patients were operated on for primary hyperparathyroidism (PHPT), among whom 84 were women, the average age of the patients was (58.2±12.1) years. The diagnosis of PHPT was based on classic symptoms, namely the presence of elevated levels of total and/or ionized calcium and intact parathyroid hormone in the blood serum. All patients were divided into two groups: group I – 36 patients (35 %) who underwent video-assisted parathyroidectomy, and group II – 67 patients (65 %) who were operated on conventionaly with bilateral neck exploration.

Results and Discussion. In 35 % of patients, video-assisted parathyroidectomy was performed, in whom, according to the results of topical studies, a solitary thyroid adenoma was revealed – these patients formed group I. An accompanying thyroid pathology was revealed in 59 (57 %) patients of group II, 4 patients (4 %) had a history of neck surgery in the area of thyroid gland, and 4 (4 %) were diagnosed with relapse or persistence of PHPT. Both groups did not significantly differ in age and gender, levels of total and ionized calcium, parathyroid hormone before surgery. The duration of surgery was significantly shorter and the length of the incision was shorter in patients of group I. In two (2 %) patients of group II and no patient of group I after surgery developed a transient paresis of the recurrent laryngeal nerve. The results suggest that video-assisted parathyroidectomy in carefully selected patients (35 %), according to the results of ultrasound and in doubtful cases of scintigraphy with 99mTc-MIBI, is an effective minimally invasive operation for the treatment of patients with PHPT, which allows to reduce the time of surgical intervention and the frequency of postoperative complications.

References

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Published

2020-01-16

How to Cite

Boyko, N. I., Khomyak, V. V., Lerchuk, O. M., Pavlovskyi, I. M., & Lukavetskyy, O. V. (2020). Own experience of the use of video-assisted parathyroidectomy for treatment of patients with primary hyperparathyroidism. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 76–79. https://doi.org/10.11603/2414-4533.2020.1.10743

Issue

No. 1 (2020)

Section

EXPERIENCE OF WORK

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