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KMID : 0361020210640040252
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 4 p.252 ~ p.257
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Surgical Experience of Primary Hyperparathyroidism: Analysis of Postoperative Outcomes
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Kang Hee-Jeong
Kim Hee-Ryung
Lee Ha-Na
Song Chang-Myeon
Ji Yong-Bae
Tae Kyung
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Abstract
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Background and Objectives : The standard surgical procedure for primary hyperparathyroidismis the bilateral exploration. However, the unilateral exploration and direct focusedparathyroidectomy have been performed to reduce surgical morbidity. The purpose of thisstudy was to report the surgical outcomes and efficacy of the bilateral exploration, unilateralexploration, and direct focused approaches for primary hyperparathyroidism.
Subjects and Method : We retrospectively analyzed the surgical outcomes of 87 patientswith primary hyperparathyroidism from January 2007 to December 2017. We compared theoperative time, complication and recurrence rate between the three operative methods.
Results : The most common histopathology was parathyroid adenoma, which was found in73 cases (83.9%), followed by hyperplasia. In terms of complications, there were two cases oftransient vocal cord palsy, one case of hematoma, one case of hypocalcemia and one case ofhungry bone syndrome. Recurrence occurred in two (2.3%) out of 87 cases. There was no significantdifference in the recurrence rate between the three surgical approaches.
Conclusion : The success rate of surgery for primary hyperparathyroidism is high. Direct focusedparathyroidectomy may be a good option for parathyroid adenoma if the localizationtests localize the lesion. The bilateral exploration is effective for parathyroid hyperplasia.
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KEYWORD
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Parathyroid adenoma, Parathyroidectomy, Primary hyperparathyroidism
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