The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences
Yıl: 2020 Cilt: 10 Sayı: 1 Sayfa Aralığı: 113 - 120 Metin Dili: İngilizce DOI: 10.31832/smj.671140 İndeks Tarihi: 23-05-2021
The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences
Öz: Objective The most important cause of primary hyperparathyroidism (PHP) is parathyroid adenomas. While the reason is mostly the adenomas originating from the parathyroidglands, which are mostly localized around the thyroid gland, ectopic localization can also be seen. The gold standard is surgical excision of adenoma. One of the mostimportant factors affecting surgical success is the correct localization of adenoma preoperatively. Our aim is to investigate the contribution of ROLL technique to thesurgical treatment of parathyroid adenomas.Materialsand Methods40 cases, which were directed due to clinic and laboratory data or incidentally detected, clearly localized preoperatively with ultrasonography (US) and/or scintigraphyfindings and surgically excised using ROLL technique between November 2017 and October 2019 were included in the study. Cases where could not be clearly localizedpreoperatively on US were excluded from the study. The preoperative and postoperative PTH (parathyroid hormone) and Ca (calcium) values were analyzed retrospectively.Results Postoperative PTH and Ca values were found to decrease in all cases. Histopathological results were confirmed as parathyroid adenoma. In cases, which were operated byusing ROLL technique, the duration of the operation was significantly reduced and therefore shorter anesthesia and earlier hospital discharge were provided.PTH values were found to be increased only in 3 cases in postoperative controls, and no other problems were detected in the follow-ups of other cases.Conclusions In surgical excision of parathyroid adenoma, the ROLL technique is a safe adjuvant method that can contribute positively to the duration and process of treatment.
Anahtar Kelime: Paratiroid Adenomlarının Cerrahi Tedavisinde “Radioguided Occult Lesion Localization-ROLL” Tekniğinin Önemi-Klinik Tecrübemiz
Öz: Amaç Primer hiperparatiroidizmin (PHP) en önemli nedeni paratiroid adenomlarıdır. Sebep, çoğunlukla tiroid bezi çevresinde yerleşmiş paratiroid bezlerinden kaynaklanan adenomlar olmakla birlikte daha nadir olarak ektopik yerleşim de görülebilmektedir. Tedavide altın standart cerrahi olarak adenomun eksizyonudur. Cerrahi başarıyı etkileyen en önemli faktörlerden birisi ise preoperatif olarak adenomun doğru olarak lokalize edilebilmesidir. Bu çalışmada amaç, ROLL tekniğinin paratiroid adenomlarının cerrahi tedavisinde tedaviye katkısını araştırmaktır. Gereç ve Yöntemler Çalışmaya Kasım 2017 ile Ekim 2019 yılları arasında, klinik ve laboratuvar verileri nedeniyle yönlendirilen veya insidental olarak saptanan, ultrasonografi ve/veya sintigrafi bulgularıyla preoperatif olarak net olarak lokalize edilen ve ROLL tekniği kullanılarak cerrahi eksizyon yapılan 40 olgu dahil edilmiştir. Herhangi bir nedenle ROLL tekniği uygulanamayan veya ultrasonografide preoperatif net olarak lokalize edilemeyen olgular çalışma dışı bırakılmıştır. Çalışmaya dahil edilen tüm olgulara ait preoperatif ve postoperatif PTH (parathormon) ve Ca (kalsiyum) değerleri retrospektif olarak incelenerek ROLL tekniğinin tedavi sürecine katkısı araştırılmıştır. Bulgular Çalışmaya dahil edilen tüm olgularda postoperatif PTH ve Ca değerlerinde anlamlı düşüş olduğu saptandı. Tüm olguların histopatolojik sonucu paratiroid adenomu olarak teyit edildi. ROLL tekniği uygulanarak operasyon yapılan olgularda operasyon süresi anlamlı olarak azalmış olup bu nedenle daha kısa anestezi ve daha erken hastane çıkışı sağlanmıştır. Postoperatif kontrollerde yalnızca 3 olguda PTH değerlerinde yükselme saptanmış olup diğer olgularda takipte herhangi bir problem saptanmamıştır. Sonuç Paratiroid adenomunun cerrahi eksizyonunda ROLL tekniği, tedavi süresine ve sürecine olumlu katkılar sağlayabilen, güvenli yardımcı bir yöntemdir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | guven f, karadeniz e, FILIK M, Kantarci M (2020). The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. , 113 - 120. 10.31832/smj.671140 |
| Chicago | guven fadime,karadeniz erdem,FILIK MUSTAFA,Kantarci Mecit The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. (2020): 113 - 120. 10.31832/smj.671140 |
| MLA | guven fadime,karadeniz erdem,FILIK MUSTAFA,Kantarci Mecit The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. , 2020, ss.113 - 120. 10.31832/smj.671140 |
| AMA | guven f,karadeniz e,FILIK M,Kantarci M The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. . 2020; 113 - 120. 10.31832/smj.671140 |
| Vancouver | guven f,karadeniz e,FILIK M,Kantarci M The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. . 2020; 113 - 120. 10.31832/smj.671140 |
| IEEE | guven f,karadeniz e,FILIK M,Kantarci M "The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences." , ss.113 - 120, 2020. 10.31832/smj.671140 |
| ISNAD | guven, fadime vd. "The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences". (2020), 113-120. https://doi.org/10.31832/smj.671140 |
| APA | guven f, karadeniz e, FILIK M, Kantarci M (2020). The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. Sakarya Tıp Dergisi, 10(1), 113 - 120. 10.31832/smj.671140 |
| Chicago | guven fadime,karadeniz erdem,FILIK MUSTAFA,Kantarci Mecit The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. Sakarya Tıp Dergisi 10, no.1 (2020): 113 - 120. 10.31832/smj.671140 |
| MLA | guven fadime,karadeniz erdem,FILIK MUSTAFA,Kantarci Mecit The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. Sakarya Tıp Dergisi, vol.10, no.1, 2020, ss.113 - 120. 10.31832/smj.671140 |
| AMA | guven f,karadeniz e,FILIK M,Kantarci M The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. Sakarya Tıp Dergisi. 2020; 10(1): 113 - 120. 10.31832/smj.671140 |
| Vancouver | guven f,karadeniz e,FILIK M,Kantarci M The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences. Sakarya Tıp Dergisi. 2020; 10(1): 113 - 120. 10.31832/smj.671140 |
| IEEE | guven f,karadeniz e,FILIK M,Kantarci M "The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences." Sakarya Tıp Dergisi, 10, ss.113 - 120, 2020. 10.31832/smj.671140 |
| ISNAD | guven, fadime vd. "The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences". Sakarya Tıp Dergisi 10/1 (2020), 113-120. https://doi.org/10.31832/smj.671140 |
