지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 327 - 339 (13page)
이용수
초록· 키워드
오류제보하기
Intraoperative parathyroid hormone monitoring (IPM) has been shown to be a useful adjunct during parathyroidectomy to ensureoperative success at many specialized medical centers worldwide. Using the Miami or “>50% intraoperative PTH drop” criterion,IPM confirms the complete excision of all hyperfunctioning parathyroid tissue before the operation is finished, and helps guide thesurgeon to identify additional hyperfunctioning parathyroid glands that may necessitate further extensive neck exploration when intraoperative parathyroid hormone (PTH) levels do not drop sufficiently. The intraoperative PTH assay is also used to differentiateparathyroid from non-parathyroid tissues during operations using fine needle aspiration samples and to lateralize the side of the neckharboring the hypersecreting parathyroid through differential jugular venous sampling when preoperative localization studies arenegative or equivocal. The use of IPM underscores the recognition and understanding of sporadic primary hyperparathyroidism(SPHPT) as a disease of function rather than form, where the surgeon is better equipped to treat such patients with quantitative instead of qualitative information for durable long-term operative success. There has been a significant paradigm shift over the last 2decades from conventional to focused parathyroidectomy guided by IPM. This approach has proven to be a safe and rapid operationrequiring minimal dissection performed in an ambulatory setting for the treatment of SPHPT.
목차
등록된 정보가 없습니다.
참고문헌 (66)
참고문헌 신청
Mandl F / 1926 / Klinisches und experimentelles zur frage der lokalisierten und generalisierten ostitis fibrosa: unter besonderer berücksichtigung der therapie der letzteren. Teil 2 / Arch Klin Chir 143:245~248
Niederle BE / 2006 / Albert J and his surgeon : a historical reevaluation of the first parathyroidectomy / J Am Coll Surg 202:181~190
van Heerden JA / 1991 / Surgical treatment of primary hyperparathyroidism : an institutional perspective / World J Surg 15:688~692
Allendorf J / 2007 / 1112 Consecutive bilateral neck explorations for primary hyperparathyroidism / World J Surg 31:2075~2080
Udelsman R / 2002 / Six hundred fifty-six consecutive explorations for primary hyperparathyroidism / Ann Surg 235:665~670
Niederle BE / 2006 / Albert J and his surgeon : a historical reevaluation of the first parathyroidectomy / J Am Coll Surg 202:181~190
van Heerden JA / 1991 / Surgical treatment of primary hyperparathyroidism : an institutional perspective / World J Surg 15:688~692
Allendorf J / 2007 / 1112 Consecutive bilateral neck explorations for primary hyperparathyroidism / World J Surg 31:2075~2080
Udelsman R / 2002 / Six hundred fifty-six consecutive explorations for primary hyperparathyroidism / Ann Surg 235:665~670
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