Culié D, Pescetto B, Dassonville O, Guevara N, Benisvy D, Santini J
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France.
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Oct;134(5):299-302. doi: 10.1016/j.anorl.2017.02.005. Epub 2017 Mar 18.
Surgery for primary hyperparathyroidism, targeted by ultrasound and scintigraphy, satisfies the theoretical criteria allowing ambulatory surgery. The purpose of this study was to validate this strategy on a homogeneous case series assessed by this imaging strategy.
All patients operated for primary hyperparathyroidism by ambulatory surgery from 01/01/13 to 30/04/15 were included in this retrospective study. The usual endpoints of ambulatory surgery were evaluated.
A total of 144 patients were operated for primary hyperparathyroidism during the study period. Ambulatory surgery was possible in 67 patients, who all had a preoperative diagnosis of parathyroid adenoma. All patients were assessed by ultrasound and 66 patients were assessed by sestamibi scintigraphy, resulting in targeted unilateral neck surgery in 98.5% of cases. Two patients had to be hospitalised overnight due to minor complications.
Surgery for primary hyperparathyroidism can be performed with short operating times in carefully selected patients with a low complication rate, thereby allowing ambulatory surgery.
针对原发性甲状旁腺功能亢进症的手术，通过超声和闪烁扫描定位，符合门诊手术的理论标准。本研究的目的是在通过这种成像策略评估的同质病例系列中验证这一策略。
本回顾性研究纳入了2013年1月1日至2015年4月30日期间接受门诊手术治疗原发性甲状旁腺功能亢进症的所有患者。评估了门诊手术的常见终点指标。
在研究期间，共有144例患者接受了原发性甲状旁腺功能亢进症手术。67例患者可行门诊手术，所有患者术前均诊断为甲状旁腺腺瘤。所有患者均接受了超声检查，66例患者接受了锝-99m甲氧基异丁基异腈闪烁扫描，98.5%的病例实现了有针对性的单侧颈部手术。2例患者因轻微并发症需住院过夜。
对于精心挑选的并发症发生率低的患者，原发性甲状旁腺功能亢进症手术可在短时间内完成，从而实现门诊手术。
