A new technique to simplify the minimally invasive parathyroidectomy: Ultrasound-assisted guided wire localization for solitary parathyroid adenomas

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dc.authoridAsik, mehmet/0000-0002-0716-0221
dc.contributor.authorOzkul, Faruk
dc.contributor.authorArik, Muhammed Kasim
dc.contributor.authorEroglu, Mustafa
dc.contributor.authorFaydaci, Umut
dc.contributor.authorToman, Huseyin
dc.contributor.authorTas, Sukru
dc.contributor.authorUkinc, Kubilay
dc.date.accessioned2025-01-27T20:52:35Z
dc.date.available2025-01-27T20:52:35Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: To investigate the benefits of ultrasound-assisted guided wire localization in MIP for selected cases. Methods: In this prospective, nonrandomised study, we included 36 patients with solitary parathyroid adenomas diagnosed preoperatively by 99m Tc sesta MIBI scintigraphy and/or neck ultrasonography. An ultrasound-guided wire was placed in the solitary parathyroid adenoma preoperatively. MIPs were performed under local anaesthesia plus sedation. After the excision, the parathyroidectomy was confirmed with postoperative ultrasonography. Results: There were 36 patients included in our study. The mean age was 54.89 +/- 11.28 years, and 30 patients were females (83.3%). Preoperative PTH and calcium (Ca) levels were 269.5 pg/mL (83.5-5,000 pg/mL) and 12.2 mg/dL (11.1-20 mg/dL), respectively. Postoperative serum PTH and Ca levels were 42.04 +/- 26.65 pg/mL and 8.95 +/- 0.74 mg/dL, respectively. The mean operation time was 21.69 +/- 6.4 minutes and the average hospitalisation time was 18 hours (range: 10-72 hours). Conclusions: Ultrasound-assisted guided wire localization may be useful in selected MIP cases. The MIP advantages include higher success rates and being easy to learn and practise.
dc.identifier.endpage1432
dc.identifier.issn0030-9982
dc.identifier.issue11
dc.identifier.pmid27812061
dc.identifier.scopus2-s2.0-84991377742
dc.identifier.scopusqualityQ3
dc.identifier.startpage1427
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25803
dc.identifier.volume66
dc.identifier.wosWOS:000388620900015
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherPakistan Medical Assoc
dc.relation.ispartofJournal of The Pakistan Medical Association
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectparathyroid neoplasms
dc.subjectMinimally invasive surgical procedures
dc.subjectParathyroidectomy
dc.subjectMonitoring
dc.subjectIntraoperative
dc.subjectUltrasonography
dc.titleA new technique to simplify the minimally invasive parathyroidectomy: Ultrasound-assisted guided wire localization for solitary parathyroid adenomas
dc.typeArticle

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