Research Article
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Year 2020, Volume: 10 Issue: 3, 214 - 220, 01.12.2020

Abstract

References

  • 1. Deiner S, Westlake B, Dutton RP. Patterns of Surgical Care and Complications in the Elderly. J Am Geriatr Soc. 2014;62(5):829-35.
  • 2. Modawal A, Ansari S, Fazili S. Management of Geriatric endocrine disorders. Compr. Ther. 2004;30:10-17.
  • 3. Nilsson IL. Primary hyperparathyroidism: should surgery be performed on all patients? Current evidence and residual uncertainties. Journal of Internal Medicine 019;285:149-64.
  • 4. Boonen S, Vanderschueren D, Pelemans W, Bouillon R. Primary hyperparathyroidism: diagnosis and managment in the older individual. European Journal of Endocrinology 2004;151:297-304.
  • 5. Butt HZ, Husainy MA, Bolia A, London NJM. Ultrasonography alone can reliably locate parathyroid tumours and facilitates minimally invasive parathyroidectomy. Ann R Coll Surg Engl 2015;97:420–24.
  • 6. Clark OH. Diagnosis of Primary Hyperparathyroidism. In: Textbook of Endocrine Surgery Ed: WB Saunders Comp., Philadelphia; 1997:297-300, 358-359.
  • 7. Hopkins CR, Reading CC. Thyroid and parathyroid imaging. Semin Ultrasound CT MR 1995;16:279-95.
  • 8. Koroğlu R, Koroğlu M. Parathyroid scintigraphy in preoperative detection of parathyroid adenomas and use of gama probe in minimal invasive surgery. Clin Exp Invest 2011;2(2):238-43.
  • 9. Sarıcı B, Soyer V, Unal B, Koc S, Onur A, Dirican A. Intrathymic Parathyroid Adenoma Causing Persistent Hyperparathyroidism : Case Report. Causa Pedia 2015;4:1073.
  • 10. Stechman MJ, Weisters M, Gleeson FV, Sadler GP, Mihai R. Parathyroidectomy is safe and improves symptoms in elderly patients with primary hyperparathyroidism (PHPT). Clinical Endocrinology 2009;71:787-99.
  • 11. Tıbblin S, Palsson N, Rydberg J. Hyperparathyroidism in the elderly. Ann Surg 1983;197(2):135-138.
  • 12. Inversini D, Morlacchi A, Melita G, Del Ferraro S, Boeri C, Portinari M, et al. Thyroidectomy in elderly patients aged ≥70 years. Gland Surg. 2017;6(5):587-90.
  • 13. Ben Haim M, Zwas ST, Munz Y, Rosin D, Shabtai EL, Kuriansky J, et al. Focused, minimally invasive radio-guided parathyroidectomy: a feasible and safe option for elderly patients with primary hyperparathyroidism. Isar Med Assoc J 2003;5(5):326-8.
  • 14. Pradhan R, Guota S, Agarwal A. Focused Parathyroidectomy Using Accurate Preoperative Imaging and Intraoperative PTH: Tertiary Care Experience. Indian J. Endocrinol Metab. 2019;23(3):347-52.
  • 15. Pekkolay Z, Tuzcu S. Importance of parathyroid hormone needle aspiration washout in adenoma localization in primary hyperparathyroidism. Med Sci Monit 2019:1694-8.
  • 16. Urkan M, Peker YS, Ozturk E. Minimally invasive parathyroidectomy for primary hyperparathyroidism Acta Endocrinologica (Buc) 2019;15(2):82-86.
  • 17. Wu B, Haigh PI, Hwang R, Ituarte PHG, Liu ILA, Hahn TJ, et al. Underutilization of Parathyroidectomy in Elderly Patients with Primary Hyperparathyroidism. J Clin Endocrinol Metab. 2010;95(9):4324–30.
  • 18. Ljunghall S, Hellman P, Rastad J, Akerstro MG. Primary hyperparathyroidism: epidemiology, diagnosis and clinical picture. World J Surg 1991;15:681-7.
  • 19. Wermers RA, Khosla S, Atkinson EJ, Achenbach SJ, Oberg AL, Grant CS, et al. Incidence of primary hyperpara- thyroidism in Rochester, Minnesota, 1993–2001: an update on the changing epidemiology of the disease. J Bone Miner Res 2006;21:171–7.
  • 20. Kandil E, Majid DS, Carson KA, Tufano RP. A Comparison of Outcomes for Younger and Older Adult Patients Undergoing Surgery for Primary Hyperparathyroidism. Annals of Surgical Oncology. 2012;19(6):1897–1901.
  • 21. Korwar V, Yuen Chang F, Teasdale E, Suchett-Kaye I, Edwards A, Morgan J. Stepwise Approach for Parathyroid Localisation in Primary Hyperparathyroidism. World J Surg. 2019;11. doi: 10.1007/s00268-019-05269-4.
  • 22. Wong W, Foo FJ, Lau MI, Sarin A. Kiruparan P. Simplified minimally invasive parathyroidectomy: a series of 100 cases and review of the literature. R Coll Surg Engl 2011;93:290–3.
  • 23. Ozbas S, Pain S, Tang T, Wishart GC. Surgical management of primary hyperparathyroidism – results of a national survey. Ann R Coll Surg Engl 2003;85:236-41.
  • 24. Fui SL, Bonnichon P, Bonni N, Delbot T, Andre JP, PionGraff J,et al. Hyperparathyroidism in octogenarians: A plea for ambulatory minimally invasive surgery under local anesthesia.Ann Endocrinol (Paris) 2016;77(5):600-5.

Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi

Year 2020, Volume: 10 Issue: 3, 214 - 220, 01.12.2020

Abstract

Amaç: Primer hiperparatiroidi klinik olarak saptanan hiperkalseminin en onemli sebebidir. Paratiroid adenomlar primer hiperparatiroidi tablosunda en sık rastalanan endokrinoloji bozukluktur. Bu calışmada paratirod adenom nedeni ile paratiroidektomi yapılan hastaların verileri incelenerek minimal invazif paratiroid cerrahisinin 65 yaş uzeri hastalarda guvenirliğinin değerlendirilmesi amaclandı.
Materyal ve Metot: Hastalar 65 yaş uzeri olanlar ve erişkin yaş grubu olarak iki gruba ayrıldı. Yaş, cinsiyet, ek hastalıklar ASA skoru, preoperatif ve postoperatif labaratuar bulguları, görüntüleme yöntemleri ve ameliyat süreleri gözden geçirildi. p değerinin anlamlılığı için <0,05 değeri kullanıldı.
Bulgular: Paratiroid adenomlu 90 hasta çalışmaya dahil edildi. Her iki grupta kadın cinsiyeti baskındı. Grup 1’de yaş ortalaması 52,15±8,87, Grup 2’de 71,39±5,76 idi. Ek hastalıklar değerlendirildiğinde, diabetes mellitus ve hipertansiyon hastalıkları açısından iki grup arasında istatistiksel fark bulunmadı. Nefrolityasizi olan hastalar değerlendirildiğinde grup 1’de 21/64 (%32) böbrek taşı ve grup 2’de 6/26 (%23) böbrek taşı vardı ve her iki grupta da istatistiksel fark yoktu. Geriatrik grupta ASA skoru daha yüksek olmasına rağmen ameliyat süresi ve hastanede kalış süreleri arasında fark yoktu. Ameliyat sonrası komplikasyon ve morbidite yoktu.
Sonuç: Adenom cerrahisi primer hiperparatiroidizm tedavisinde etkili tedavi metodudur. Ek hastalıklar ve geriatrik yaş grubu hastalar; cerrahinin etkinliğinde ve komplikasyon oranlarında artışa sebep olmamaktadır. Cerrahi işlem süresi geriatrik hasta grubunda ASA skorundaki anlamlı farklılığa rağmen uzamamıştır. Minimal invazif paratiroidektomi geriatrik hasta grubunda güvenle uygulanabilecek cerrahi yöntemdir. Çalışmamız literatürde ülkemizden geriatrik hastalarda minimal invaziv paratiroidektomi ile ilgili bildiğimiz ilk çalışmadır.

References

  • 1. Deiner S, Westlake B, Dutton RP. Patterns of Surgical Care and Complications in the Elderly. J Am Geriatr Soc. 2014;62(5):829-35.
  • 2. Modawal A, Ansari S, Fazili S. Management of Geriatric endocrine disorders. Compr. Ther. 2004;30:10-17.
  • 3. Nilsson IL. Primary hyperparathyroidism: should surgery be performed on all patients? Current evidence and residual uncertainties. Journal of Internal Medicine 019;285:149-64.
  • 4. Boonen S, Vanderschueren D, Pelemans W, Bouillon R. Primary hyperparathyroidism: diagnosis and managment in the older individual. European Journal of Endocrinology 2004;151:297-304.
  • 5. Butt HZ, Husainy MA, Bolia A, London NJM. Ultrasonography alone can reliably locate parathyroid tumours and facilitates minimally invasive parathyroidectomy. Ann R Coll Surg Engl 2015;97:420–24.
  • 6. Clark OH. Diagnosis of Primary Hyperparathyroidism. In: Textbook of Endocrine Surgery Ed: WB Saunders Comp., Philadelphia; 1997:297-300, 358-359.
  • 7. Hopkins CR, Reading CC. Thyroid and parathyroid imaging. Semin Ultrasound CT MR 1995;16:279-95.
  • 8. Koroğlu R, Koroğlu M. Parathyroid scintigraphy in preoperative detection of parathyroid adenomas and use of gama probe in minimal invasive surgery. Clin Exp Invest 2011;2(2):238-43.
  • 9. Sarıcı B, Soyer V, Unal B, Koc S, Onur A, Dirican A. Intrathymic Parathyroid Adenoma Causing Persistent Hyperparathyroidism : Case Report. Causa Pedia 2015;4:1073.
  • 10. Stechman MJ, Weisters M, Gleeson FV, Sadler GP, Mihai R. Parathyroidectomy is safe and improves symptoms in elderly patients with primary hyperparathyroidism (PHPT). Clinical Endocrinology 2009;71:787-99.
  • 11. Tıbblin S, Palsson N, Rydberg J. Hyperparathyroidism in the elderly. Ann Surg 1983;197(2):135-138.
  • 12. Inversini D, Morlacchi A, Melita G, Del Ferraro S, Boeri C, Portinari M, et al. Thyroidectomy in elderly patients aged ≥70 years. Gland Surg. 2017;6(5):587-90.
  • 13. Ben Haim M, Zwas ST, Munz Y, Rosin D, Shabtai EL, Kuriansky J, et al. Focused, minimally invasive radio-guided parathyroidectomy: a feasible and safe option for elderly patients with primary hyperparathyroidism. Isar Med Assoc J 2003;5(5):326-8.
  • 14. Pradhan R, Guota S, Agarwal A. Focused Parathyroidectomy Using Accurate Preoperative Imaging and Intraoperative PTH: Tertiary Care Experience. Indian J. Endocrinol Metab. 2019;23(3):347-52.
  • 15. Pekkolay Z, Tuzcu S. Importance of parathyroid hormone needle aspiration washout in adenoma localization in primary hyperparathyroidism. Med Sci Monit 2019:1694-8.
  • 16. Urkan M, Peker YS, Ozturk E. Minimally invasive parathyroidectomy for primary hyperparathyroidism Acta Endocrinologica (Buc) 2019;15(2):82-86.
  • 17. Wu B, Haigh PI, Hwang R, Ituarte PHG, Liu ILA, Hahn TJ, et al. Underutilization of Parathyroidectomy in Elderly Patients with Primary Hyperparathyroidism. J Clin Endocrinol Metab. 2010;95(9):4324–30.
  • 18. Ljunghall S, Hellman P, Rastad J, Akerstro MG. Primary hyperparathyroidism: epidemiology, diagnosis and clinical picture. World J Surg 1991;15:681-7.
  • 19. Wermers RA, Khosla S, Atkinson EJ, Achenbach SJ, Oberg AL, Grant CS, et al. Incidence of primary hyperpara- thyroidism in Rochester, Minnesota, 1993–2001: an update on the changing epidemiology of the disease. J Bone Miner Res 2006;21:171–7.
  • 20. Kandil E, Majid DS, Carson KA, Tufano RP. A Comparison of Outcomes for Younger and Older Adult Patients Undergoing Surgery for Primary Hyperparathyroidism. Annals of Surgical Oncology. 2012;19(6):1897–1901.
  • 21. Korwar V, Yuen Chang F, Teasdale E, Suchett-Kaye I, Edwards A, Morgan J. Stepwise Approach for Parathyroid Localisation in Primary Hyperparathyroidism. World J Surg. 2019;11. doi: 10.1007/s00268-019-05269-4.
  • 22. Wong W, Foo FJ, Lau MI, Sarin A. Kiruparan P. Simplified minimally invasive parathyroidectomy: a series of 100 cases and review of the literature. R Coll Surg Engl 2011;93:290–3.
  • 23. Ozbas S, Pain S, Tang T, Wishart GC. Surgical management of primary hyperparathyroidism – results of a national survey. Ann R Coll Surg Engl 2003;85:236-41.
  • 24. Fui SL, Bonnichon P, Bonni N, Delbot T, Andre JP, PionGraff J,et al. Hyperparathyroidism in octogenarians: A plea for ambulatory minimally invasive surgery under local anesthesia.Ann Endocrinol (Paris) 2016;77(5):600-5.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Article
Authors

Mehmet Fatih Ekici This is me

Fatih Kuzu This is me

Sezgin Zeren This is me

Ali Cihat Yıldırım This is me

Erhan Akdemir This is me

Fatih Yaylak This is me

Kevser Onbaşı This is me

Mustafa Cem Algın This is me

Publication Date December 1, 2020
Published in Issue Year 2020 Volume: 10 Issue: 3

Cite

APA Ekici, M. F., Kuzu, F., Zeren, S., Yıldırım, A. C., et al. (2020). Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi. Kafkas Journal of Medical Sciences, 10(3), 214-220.
AMA Ekici MF, Kuzu F, Zeren S, Yıldırım AC, Akdemir E, Yaylak F, Onbaşı K, Algın MC. Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi. KAFKAS TIP BİL DERG. December 2020;10(3):214-220.
Chicago Ekici, Mehmet Fatih, Fatih Kuzu, Sezgin Zeren, Ali Cihat Yıldırım, Erhan Akdemir, Fatih Yaylak, Kevser Onbaşı, and Mustafa Cem Algın. “Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi”. Kafkas Journal of Medical Sciences 10, no. 3 (December 2020): 214-20.
EndNote Ekici MF, Kuzu F, Zeren S, Yıldırım AC, Akdemir E, Yaylak F, Onbaşı K, Algın MC (December 1, 2020) Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi. Kafkas Journal of Medical Sciences 10 3 214–220.
IEEE M. F. Ekici, “Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi”, KAFKAS TIP BİL DERG, vol. 10, no. 3, pp. 214–220, 2020.
ISNAD Ekici, Mehmet Fatih et al. “Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi”. Kafkas Journal of Medical Sciences 10/3 (December 2020), 214-220.
JAMA Ekici MF, Kuzu F, Zeren S, Yıldırım AC, Akdemir E, Yaylak F, Onbaşı K, Algın MC. Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi. KAFKAS TIP BİL DERG. 2020;10:214–220.
MLA Ekici, Mehmet Fatih et al. “Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi”. Kafkas Journal of Medical Sciences, vol. 10, no. 3, 2020, pp. 214-20.
Vancouver Ekici MF, Kuzu F, Zeren S, Yıldırım AC, Akdemir E, Yaylak F, Onbaşı K, Algın MC. Geriatrik Hastalarda Primer Hiperparatiroidi Tedavisinde Güvenli Yöntem: Minimal İnvazif Paratiroidektomi. KAFKAS TIP BİL DERG. 2020;10(3):214-20.