Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları

Tevfik Avcı; Feza Yarbuğ Karakayalı; Hakan Yabanoğlu; Gökhan Moray

doi:10.17826/cumj.398492

EN TR

Long term results of total parathyroidectomy/autotransplantation without cryopreservation in secondary hyperparathyroidism

Öz

Purpose: The aim of this study was to compare the efficacy and early-late results of subtotal parathyroidectomy and total parathyroidectomy/auto transplantation without cryopreservation conducted on cases with secondary hyperparathyroidism (HPT).

Materials and Methods: 68 patients with secondary HPT who had parathyroidectomy were analysed retrospectively. In group1 (n=47) subtotal parathyroidectomy, in group2 (n=21) total parathyroidectomy/auto transplantation without cryopreservation were performed in our clinic. Patients' demographic characteristics and clinical features were evaluated.

Results: In group1 8 patients (14.9%), in group2 17 patients (76.2%) had concurrent thymectomies. The rates of persistant HPT in group1 and group2 were 14.9% (n=7), 4.8% (n=1) respectively. In group2 no recurrent HPT was seen, in group2 10.6% (n=5) of the patients had recurrent HPT. The reasons of persistent and recurrent HPT were ectopic or supernumerary glands in 69.2% (n=9) of the patients.

Conclusion: In patients with end stage renal failure and secondary HPT, bilateral cervical thymectomy concurrent with total parathyroidectomy/auto transplantation without cryopreservation can be applied as a safe and efficient surgical procedure.

Anahtar Kelimeler

Hyperparathyroidism,secondary,parathyroidectomy,autotransplantation,thymectomy

Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları

Öz

Amaç: Bu çalışmada, kliniğimizde sekonder hiperparatiroidizm (HPT) olgularına uygulanan subtotal paratiroidektomi ve kriyoprezervasyonsuz total paratiroidektomi ve ototransplantasyon cerrahi yöntemlerinin erken ve geç dönem sonuçları ve etkinliklerinin karşılaştırılması amaçlanmıştır.

Gereç ve Yöntem: Çalışmaya paratiroidektomi yapılan 68 sekonder HPT hastası dahil edildi ve hastalar retrospektif olarak değerlendirildi. Subtotal paratiroidektomi yapılan hastalar grup 1 (n=47) olarak, total paratiroidektomi ve ototransplantasyon yapılan hastalar grup 2 (n=21) olarak sınıflandırıldı. Hastaların demografik ve klinik özellikleri değerlendirildi.

Bulgular: Ameliyatta, grup 1’de 8 hastaya (%14.9), grup 2’de 17 hastaya (%76.2) eş zamanlı timektomi yapıldı. Grup 1’de görülen persistan hiperparatiroidi (HPT) oranı %14.9 (n=7) iken, grup 2’de %4.8 (n=1) idi. Rekürren HPT grup 2’de görülmezken, grup 1’de %10.6 oranında (n=5) görüldü. Tüm hastalar değerlendirildiğinde, persistan veya rekürren HPT gelişen hastaların %69.2’sinde (n=9) neden, ektopik veya süpernumara bez varlığıydı.

Sonuç: Son dönem böbrek yetmezlikli sekonder HPT tanılı hastalara, bilateral servikal timektominin eklendiği, kriyoprezervasyonsuz total paratiroidektomi ve ototransplantasyon tekniği, güvenli ve etkili bir cerrahi seçenek olarak uygulanabilir.

Anahtar Kelimeler

Sekonder hiperparatiroidi,total paratiroidektomi,ototransplantasyon,subtotal paratiroidektomi

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Tevfik Avcı ^*
Başkent Üniversitesi Tıp Fakültesi, Genel Cerrahi Ana Bilim Dalı, Ankara
0000-0001-5225-959X
Türkiye

Feza Yarbuğ Karakayalı Bu kişi benim
Başkent Üniversitesi İstanbul Sağlık Uygulama Ve Araştırma Merkezi, Genel Cerrahi Ana Bilim Dalı, İstanbul
0000-0002-1874-947X
Türkiye

Hakan Yabanoğlu
Başkent Üniversitesi Adana Uygulama Ve Araştırma Merkezi, Genel Cerrahi Ana Bilim Dalı, Adana
0000-0002-1161-3369
Türkiye

Gökhan Moray Bu kişi benim
Başkent Üniversitesi Tıp Fakültesi, Genel Cerrahi Ana Bilim Dalı, Ankara
0000-0003-2498-7287
Türkiye

Yayımlanma Tarihi

29 Aralık 2018

Gönderilme Tarihi

25 Şubat 2018

Kabul Tarihi

5 Temmuz 2018

Yayımlandığı Sayı

Yıl 2018 Cilt: 43 Sayı: Ek 1

DOI

https://doi.org/10.17826/cumj.398492

IZ

https://izlik.org/JA39JK95BX

APA

Avcı, T., Yarbuğ Karakayalı, F., Yabanoğlu, H., & Moray, G. (2018). Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları. Cukurova Medical Journal, 43(Ek 1), 129-138. https://doi.org/10.17826/cumj.398492

AMA

1.Avcı T, Yarbuğ Karakayalı F, Yabanoğlu H, Moray G. Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları. Cukurova Med J. 2018;43(Ek 1):129-138. doi:10.17826/cumj.398492

Chicago

Avcı, Tevfik, Feza Yarbuğ Karakayalı, Hakan Yabanoğlu, ve Gökhan Moray. 2018. “Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları”. Cukurova Medical Journal 43 (Ek 1): 129-38. https://doi.org/10.17826/cumj.398492.

EndNote

Avcı T, Yarbuğ Karakayalı F, Yabanoğlu H, Moray G (01 Aralık 2018) Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları. Cukurova Medical Journal 43 Ek 1 129–138.

IEEE

[1]T. Avcı, F. Yarbuğ Karakayalı, H. Yabanoğlu, ve G. Moray, “Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları”, Cukurova Med J, c. 43, sy Ek 1, ss. 129–138, Ara. 2018, doi: 10.17826/cumj.398492.

ISNAD

Avcı, Tevfik - Yarbuğ Karakayalı, Feza - Yabanoğlu, Hakan - Moray, Gökhan. “Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları”. Cukurova Medical Journal 43/Ek 1 (01 Aralık 2018): 129-138. https://doi.org/10.17826/cumj.398492.

JAMA

1.Avcı T, Yarbuğ Karakayalı F, Yabanoğlu H, Moray G. Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları. Cukurova Med J. 2018;43:129–138.

MLA

Avcı, Tevfik, vd. “Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları”. Cukurova Medical Journal, c. 43, sy Ek 1, Aralık 2018, ss. 129-38, doi:10.17826/cumj.398492.

Vancouver

1.Tevfik Avcı, Feza Yarbuğ Karakayalı, Hakan Yabanoğlu, Gökhan Moray. Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları. Cukurova Med J. 01 Aralık 2018;43(Ek 1):129-38. doi:10.17826/cumj.398492

Cited By

Comparison of Long-term Clinical Outcomes of the Preferred Surgical Techniques in Secondary Hyperparathyroidism Cases

Meandros Medical and Dental Journal

https://doi.org/10.4274/meandros.galenos.2021.54715

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Long term results of total parathyroidectomy/autotransplantation without cryopreservation in secondary hyperparathyroidism

Öz

Anahtar Kelimeler

Sekonder hiperparatiroidizm olgularında kriyoprezervasyonsuz total paratiroidektomi/önkol ototransplantasyon tekniğinin uzun dönem sonuçları

Öz

Anahtar Kelimeler

Kaynakça

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Birincil Dil

Konular

Bölüm

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Yayımlanma Tarihi

Gönderilme Tarihi

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DOI

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Kaynak Göster

Cited By

Comparison of Long-term Clinical Outcomes of the Preferred Surgical Techniques in Secondary Hyperparathyroidism Cases