Application of Endoscopic Parathyroidectomy in the Treatment of Primary Hyperparathyroidism
10.3760/cma.j.cn.115807-20220802-00211
- VernacularTitle:腔镜甲状旁腺切除术在原发性甲状旁腺功能亢进症治疗中的应用
- Author:
Surong HUA
1
;
Zhihong WANG
;
Junyi GAO
;
Mengyi WANG
;
Qiaofei LIU
;
Wenjing LIU
;
Guannan GE
;
Yingxin WEI
;
Ya HU
;
Quan LIAO
Author Information
1. 中国医学科学院北京协和医院基本外科，北京 100730
- Keywords:
Primary hyperparathyroidism;
Endoscopic parathyroidectomy
- From:
Chinese Journal of Endocrine Surgery
2022;16(4):391-395
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience and the clinical data of patients with primary hyperparathyroidism undergoing endoscopic parathyroidectomy.Methods:A total of 24 patients who underwent endoscopic parathyroidectomy for primary hyperparathyroidism in Peking Union Medical College Hospital during Feb. 2021 to May. 2022 were concluded in this study (20 cases of parathyroidectomy via axillary approach and 4 cases of parathyroidectomy via thoracic and breast approach) . The operation time, postoperative drainage, length of stay, level of parathyroid hormone and serum calcium of those patients were collected. Postoperative complications and recurrence of hyperparathyroidism were also observed.Results:The postoperative levels of serum parathyroid hormone and serum calcium were significantly reduced (over 50%) compared with preoperative level ( P<0.05) . The average operation time was (96±22) min (64-157 min) . The mean postoperative drainage volume was (47±16) ml on day 1, (46±11) ml on day 2, and (30±9) ml on day 3, respectively. The average length of postoperative hospital stay was (2.8±1.1) days (2-6 days) . In one case of parathyroidectomy via axillary approach, the operation was converted to open surgery because of the low position of lesion. Other cases completed endoscopic surgery and obtained satisfactory cosmetic results. There were no postoperative complications such as bleeding, permanent hoarseness, coughing while drinking water, or surgical site infection. The mean follow-up time was (7.4±4.2) months (1-16 months) . There was no obvious discomfort and no recurrence during follow-up. Conclusion:Endoscopic parathyroidectomy is safe and effective in the treatment of primary hyperparathyroidism, which can be used as a surgical option for patients with cosmetic requirements.
