Factors increasing surgery success in primary hyperparathyroidism

Abstract

Aim: Standart procedure for Primary hyperparathyroidism patients’ is two sides neck exploration, during the last years minimal incision started to be used for primary hyperparathyroidisim patients at primary hyperparathyrodism patients. Some researchers had been done to which patients should perform minimal incision surgery that a set of indexes proposed to use. So we can try to show which parameters should be use for get better surgery results.Material and Methods: Files of the patients, that undergo surgery for primary parathyroidism between January 2009-2016, will be studied retrospectively.Results: There 166 patients operated for primary hyperparathyroidism. 14 of these patients have multi gland disease. There is no difference for single gland disease and multigland disease patients between age and gender statistically. Multiglands disease patients’ pathology specimens lenght and weight is lower than single gland disease group statistically. Preoperative and post operative parathormone(Pth) and calcium levels have no statistical difference. Comparing minimal invasive parathyroidectomy(MIP) and bilateral neck exploration parathyroidectomy shows there is no statistically difference between them. Avaible parameters applied advised parameters.Conclusion: There is scoring systems, that made from combination of biochemical parameters and screening methods, seperate single gland disease and multiple glands disease. We evaluated these scoring system among our patients. CaPTHUS scoring system seems useful at our patient group. Wisconsin index is statisticaly meaningless with slight difference. So there is need to more crowded and prospective studies to be done for seperating multi gland disease and solitary adenoma. Comparing Minimal invasive parathyroidectomy and bilateral neck exploration parathyroidectomy shows that MIP is a safe procedure in selected patients.