Application of the sternocleidomastoid intermuscular approach in unilateral parathyroid surgery
10.3760/cma.j.cn.115807-20220720-00191
- VernacularTitle:经胸锁乳突肌肌间入路在单侧甲状旁腺手术中的应用
- Author:
Jitao FU
1
;
Qingfeng FU
;
Yishen ZHAO
;
Rui DU
;
Shuai ZHANG
;
Hui SUN
;
Le ZHOU
Author Information
1. 吉林大学中日联谊医院甲状腺外科，吉林省外科转化医学重点实验室，吉林省甲状腺疾病防治工程实验室，长春 130033
- Keywords:
Sternocleidomastoid intermuscular approach;
Primary hyperparathyroidism;
Parathyroid
- From:
Chinese Journal of Endocrine Surgery
2023;17(1):11-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and advantages of unilateral primary hyperparathyroidism (PHPT) treated by transthyretal interosseous muscle approach surgery.Methods:Clinical data of 7 patients with unilateral PHPT treated by interstitial sternocleidomastoid muscle approach from Jan. 2021 to Feb. 2022 in the thyroid surgery of China-Japan Union Hospital of Jilin University were retrospectively analyzed, including preoperative blood calcium concentration, operation time, incision length, intraoperative parathyroid hormone (PTH) , blood calcium concentration and PTH value in the first month after surgery, abnormal sensation of the skin in the anterior cervical area, etc. The feasibility and advantages of interstitial sternocleidomastoid muscle approach surgery for unilateral PHPT were analyzed.Results:All 7 patients with unilateral PHPT were operated successfully. The PTH was 17.2-63.3 pg/ml on recheck 1 month after surgery, which were all within the normal range. The time from skin opening to resection of the diseased parathyroid gland was 20-35 min, and the length of the surgical incision was 3-4 cm. all patients were given intravenous and oral calcium therapy after surgery, and the blood calcium and PTH levels were within the normal range at 3-12 months of follow-up; the incision recovered well, and there was no significant sensory and functional abnormalities in the anterior neck area.Conclusion:The treatment of unilateral PHPT through the sternocleidomastoid interosseous approach can ensure the safety and efficacy of the operation while better protecting the sensory and motor functions of the anterior cervical region and improving the aesthetics of the surgical incision.
