Yara Yeri İyileşme Sorunu Olan Paratiroid Adenomlu Hastada Endoskopik Gazsız Trans-Aksiller Paratiroidektomi

Yıl 2025, Cilt: 47 Sayı: 5, 834 - 838, 04.09.2025

Yasin Ekici , Büşra Ekici

https://doi.org/10.20515/otd.1657502

Öz

Primer hiperparatriodizim toplumda sık görülen endokrinolojik bir hastalıktır.
Hastalık semptomatik veya non-semptomatik tedadüfen saptanabilir. Bu hastalığın temel
tedavisi cerrahi olarak adenomun ekzisyonudur. Görüntüleme yöntemlerinin artması ile
lokalizasyonları daha doğru saptanmaktadır. Hastaların genellikle kadın olması ve boyun
bölgesinde insizyon istememesi hastalarda insizyonların görünmeyen bölgelere
taşınmasına (aksillar bölge, meme altı) ve vücut içinde bırakılması (transoral yaklaşım)
gibi yeni tekniklerin geliştirilmesine yardımcı olmuştur.
Olgumuz 55 yaşında geçirilmiş cerrahilere bağlı geçmeyen skarları olan kadın
hastada insizyonu aksillaya taşıyan endoskopik gazsız trans-aksiller paratiroidektomi
tercih edildi.

Anahtar Kelimeler

Hiperparatiroidizm , Endoskopik , Aksilla

In A Patient with Parathyroid Adenoma Who Has Wound Healing Problems: Endoscopic Gasless Trans-Axillary Parathyroidectomy

Öz

Primary hyperparathyroidism is a common endocrinological disease in the
society. The disease can be detected symptomatically or non-symptomatically. The basic
treatment of this disease is surgical excision of the adenoma. With the increase in imaging
methods, localizations are determined more accurately. The fact that the patients are
usually women and do not want incisions in the neck region has helped the development
of new techniques such as moving the incisions to invisible areas (axillary region, under
the breast) and leaving them inside the body (transoral approach). In our case, Endoscopic
Gasless Trans-Axillary Parathyroidectomy, which moves the incision to the axilla, was
preferred in a 55-year-old female patient with persistent scars due to previous surgeries.

Anahtar Kelimeler

Axilla , Endoscopic , Hyperparathyroidism

Kaynakça

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