Parathyroidectomy experience in a low-volume center for parathyroid surgery
Burhan Hakan Kanat1, Buğra Bozan1, Zeynep Özkan1, Özgen Solmaz2, Fatih Erol1, Hasan Baki Altınsoy3, Fatih Mehmet Yazar1, Mehmet Yaşar Aslanmirza1
1Elazığ Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği, Elazığ
2Elazığ Eğitim ve Araştırma Hastanesi Tıbbi Patoloji Kliniği, Elazığ
3Elazığ Eğitim ve Araştırma Hastanesi Radyoloji Kliniği, Elazığ
Keywords: Hyperparathyroidism, parathyroid adenoma, parathyroidectomy
Purpose: Hyperparathyroidism is a clinical entity reveals that hypercalcemia and symptoms related this situation. The most frequent cause of hypercalcemia is hyper secretion of parathormon by Parathyroid glands. Surgical therapy has been performed in symptomatic patients otherwise this method has been discussed in asymptomatic cases. The aim of this study is that presentation and discussion of cases who performed surgical treatment with primary hyperthyroidism in our hospital as low volume for parathyroid surgery hospital.
Material and method: Twelve patients who treated hyperparathyroidism in our clinic between “February 2012-December 2014” were investigated retrospectively. Calcium, Phosphor and Parathormon levels in sera were analyzed in preoperative and postoperative period. Patients were examined with neck ultrasonography and 99mTc Sestamibi parathyroid sintigraphy for accurate preoperative diagnosis and localizations.
Findings: Patients consisted of three male and nine female and mean age was 42.5 ± 16.63. Pathologic examination of specimens after surgery reveals that 11(%91.6) specimens were parathyroid adenoma and 1(%8.4) nomal parathyroid tissue accompanied thymus.
Conclusion: We consider that surgical treatment of hyperparathyroidism can be performing successfully in low volume hospitals among especially selected patients.