Attitude of the surgical approach in hyperparathyroidism: A retrospective study

The present study constitutes a retrospective study for patients with hyperparathyroidism surgically operated on at the Department of Thoracic Surgery of the Central Military Emergency University Hospital ‘Dr. Carol Davila’, Bucharest, Romania (SUUMC), over a period of 6 years. The study aimed to el...

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Bibliographic Details
Published in:Experimental and therapeutic medicine 2021-09, Vol.22 (3), Article 959
Main Authors: Nistor, Claudiu, Stanciu‑Găvan, Camelia, Vasilescu, Florina, Dumitru, Adrian, Ciuche, Adrian
Format: Article
Language:English
Subjects:
Asymptomatic
Endocrine system
Hyperplasia
Hypertension
Laboratories
Localization
Osteoporosis
Patients
Polyuria
Surgery
Thyroid gland
Tumors
Ultrasonic imaging
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Summary:The present study constitutes a retrospective study for patients with hyperparathyroidism surgically operated on at the Department of Thoracic Surgery of the Central Military Emergency University Hospital ‘Dr. Carol Davila’, Bucharest, Romania (SUUMC), over a period of 6 years. The study aimed to elucidate the diagnostic and surgical attitude for an effective treatment, practiced at SUUMC, Romania. The study group included 55 patients: 41 women and 14 men, diagnosed at the endocrinology department, who underwent various personalized surgeries (Kocher modified incision) for typical and ectopic locations of parathyroid pseudotumor formations (hyperplasia and parathyroid adenoma), to cure the disease. The recommended protocol was followed by immediate and 30-day postoperative evaluation which showed normalization of the blood tests, and improved clinical and imaging anomalies. In conclusion, the thoracic surgeon has the necessary knowledge to perform surgery at the cervical, thoracic-cervical and mediastinal levels. Postoperative, the results of laboratory tests for calcium (Ca) and parathyroid hormone (PTH) gradually returned to normal, as can be seen from the statistical study.
ISSN:1792-0981
1792-1015
DOI:10.3892/etm.2021.10391