Minimal invaziv paratiroidektomi. Tek merkez deneyimi.

Abstract

Objective: Among endocrine diseases, primary hyperparathyroidism ranks third in frequency after diabetes mellitus and thyroid diseases 
 The aim of this study is to present the results of parathyroid adenoma surgery and the effectiveness of imaging methods in detecting parathyroid adenomas in our tertiary surgical clinic, where parathyroid surgery is frequently performed.
 Methods: Between January 2019 and March 2023, records of patients who underwent surgery in our clinic due to parathyroid adenoma were retrospectively scanned. Patient demographics, blood parameters, preoperative imaging results, surgical findings, and postoperative pathological examination results were recorded.
 Results: A total of 98 patients were included in the study. During surgery, it was observed that parathyroid adenomas were most commonly located in the right inferior position (48 patients, 49%) and secondarily in the left inferior position (30 patients, 30.6%).
 When examining the diagnostic accuracy rates of preoperative imaging studies in the localization of pathological parathyroid glands, it was found that the location of right inferior parathyroid adenomas was most accurately detected both in ultrasound examination and scintigraphic imaging results (30.6% and 36.7%, respectively). Parathyroid adenomas located adjacent to the isthmus were found to be least accurately detected both in ultrasound examination and scintigraphic imaging results (1% and 0%, respectively).