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Article

Attitude of the surgical approach in hyperparathyroidism: A retrospective study

  • Authors:
    • Claudiu Eduard Nistor
    • Camelia Stanciu‑Găvan
    • Florina Vasilescu
    • Adrian Vasile Dumitru
    • Adrian Ciuche
  • View Affiliations / Copyright

    Affiliations: Department of Thoracic Surgery, ‘Dr. Carol Davila’ Central Military Emergency University Hospital, 010825 Bucharest, Romania, Department of Pathological Anatomy, ‘Dr. Carol Davila’ Central Military Emergency University Hospital, 010825 Bucharest, Romania, Department of Pathological Anatomy, Emergency University Hospital Bucharest, 050098 Bucharest, Romania
  • Article Number: 959
    |
    Published online on: July 7, 2021
       https://doi.org/10.3892/etm.2021.10391
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Abstract

The present study constitutes a retrospective study for patients with hyperparathyroidism surgically operated on at the Department of Thoracic Surgery of the Central Military Emergency University Hospital ‘Dr. Carol Davila’, Bucharest, Romania (SUUMC), over a period of 6 years. The study aimed to elucidate the diagnostic and surgical attitude for an effective treatment, practiced at SUUMC, Romania. The study group included 55 patients: 41 women and 14 men, diagnosed at the endocrinology department, who underwent various personalized surgeries (Kocher modified incision) for typical and ectopic locations of parathyroid pseudotumor formations (hyperplasia and parathyroid adenoma), to cure the disease. The recommended protocol was followed by immediate and 30‑day postoperative evaluation which showed normalization of the blood tests, and improved clinical and imaging anomalies. In conclusion, the thoracic surgeon has the necessary knowledge to perform surgery at the cervical, thoracic‑cervical and mediastinal levels. Postoperative, the results of laboratory tests for calcium (Ca) and parathyroid hormone (PTH) gradually returned to normal, as can be seen from the statistical study.
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1 

Parnell KE and Oltmann SC: The surgical management of primary hyperparathyroidism: An updated review. Int J Endocr Oncol. 5(IJE07)2018.

2 

DeLellis RA, Mazzaglia P and Mangray S: Primary hyperparathyroidism: A current perspective. Arch Pathol Lab Med. 132:1251–1262. 2008.PubMed/NCBI View Article : Google Scholar

3 

Silverberg SJ, Clarke BL, Peacock M, Bandeira F, Boutroy S, Cusano NE, Dempster D, Lewiecki EM, Liu JM, Minisola S, et al: Current issues in the presentation of asymptomatic primary hyperparathyroidism: Proceedings of the fourth international workshop. J Clin Endocrinol Metab. 99:3580–3594. 2014.PubMed/NCBI View Article : Google Scholar

4 

Mizamtsidi M, Nastos C, Mastorakos G, Dina R, Vassiliou I, Gazouli M and Palazzo F: Diagnosis, management, histology and genetics of sporadic primary hyperparathyroidism: Old knowledge with new tricks. Endocr Connect. 7:R56–R68. 2018.PubMed/NCBI View Article : Google Scholar

5 

Mamedova E, Mokrysheva N, Vasilyev E, Petrov V, Pigarova E, Kuznetsov S, Kuznetsov N, Rozhinskaya L, Melnichenko G, Dedov I and Tiulpakov A: Primary hyperparathyroidism in young patients in Russia: High frequency of hyperparathyroidism-jaw tumor syndrome. Endocr Connect. 6:557–565. 2017.PubMed/NCBI View Article : Google Scholar

6 

Pappachan JM, Sodi R, Viswanath AK and Lahart IM: Parathyroidectomy for adults with primary hyperparathyroidism (Protocol). Cochrane Database Syst Rev. 2018(CD013035)2018.

7 

National Institute for Health and Care Excellence (NICE): Hyperparathyroidism (primary): Diagnosis, assessment and initial management. NICE guideline [NG132]. https://www.nice.org.uk/guidance/ng132/chapter/Recommendations. Accessed May 23, 2019.

8 

Udelsman R, Åkerström G, Biagini C, Duh QY, Miccoli P, Niederle B and Tonelli F: The surgical management of asymptomatic primary hyperparathyroidism: Proceedings of the fourth international workshop. J Clin Endocrinol Metab. 99:3595–3606. 2014.PubMed/NCBI View Article : Google Scholar

9 

Udelsman R, Lin Z and Donovan P: The superiority of minimally invasive parathyroidectomy based on 1650 consecutive patients with primary hyperparathyroidism. Ann Surg. 253:585–591. 2011.PubMed/NCBI View Article : Google Scholar

10 

Wilhelm SM, Wang TS, Rua DT, Lee JA, Asa SL, Duh QY, Doherty GM, Herrera MF, Pasieka JL, Perrier ND, et al: The American association of endocrine surgeons guidelines for definitive management of primary hyperparathyroidism. JAMA Surg. 151:959–968. 2016.PubMed/NCBI View Article : Google Scholar

11 

Nistor Cl, Ciuche A and Horvat T: Thoracic Surgery. Vol IV. Mediastinal pseudotumors. Treaty of Surgery. 1st edition. Romanian Academy Publishing House, Bucharest, pp701-704, 2008.

12 

Spiroiu C, Ranetti AE and Nistor C: Giant parathyroid adenoma with severe hypercalcaemia: Case report. Endocrine Abstracts. 37(EP296)2015.

13 

Nistor C, Davidescu M, Ciuche A, Rus O, Tudose A, Vasilescu F and Horvat T: Giant multifocal thyroid tumor. Maedica-a Journal of Clinical Medicine. 4:346–352. 2009.

14 

Nistor C, Ciuche A, Motaş C, Motaş N, Bluoss C, Pantile D, Davidescu M and Horvat T: Cervico-mediastinal thyroid masses-our experience. Chirurgia (Bucur). 109:34–43. 2014.PubMed/NCBI

15 

Nistor C, Ciuche A and Constantinescu I: Emergency surgical tracheal decompression in a huge retrosternal goiter. Acta Endocrinol (Buchar). 13:370–374. 2017.PubMed/NCBI View Article : Google Scholar

16 

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC and Vandenbroucke JP: STROBE Initiative. The Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Ann Intern Med. 147:573–577. 2007.PubMed/NCBI View Article : Google Scholar

17 

Song CM, Ji YB, Kim IS, Lee JY, Kim DS and Tae K: Low transverse incision for lateral neck dissection in patients with papillary thyroid cancer: Improved cosmesis. World J Surg Oncol. 15(97)2017.PubMed/NCBI View Article : Google Scholar

18 

Noureldine SI, Gooi Z and Tufano RP: Minimally invasive parathyroid surgery (Review). Gland Surg. 4:410–419. 2015.PubMed/NCBI View Article : Google Scholar

19 

Henry JF: Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision. Langenbecks Arch Surg. 393:621–626. 2008.PubMed/NCBI View Article : Google Scholar

20 

Duke WS and Terris DJ: Alternative approaches to the thyroid gland. Endocrinol Metab Clin North Am. 43:459–474. 2014.PubMed/NCBI View Article : Google Scholar

21 

Mazeh H, Stoll SJ, Robbins JB, Sippel RS and Chen H: Validation of the ‘Perrier’ parathyroid adenoma location nomenclature. World J Surg. 36:612–616. 2012.PubMed/NCBI View Article : Google Scholar

22 

Simo R, Nixon I, Tysome JR, Balfour A and Jeannon JP: Modified extended Kocher incision for total thyroidectomy with lateral compartment neck dissection-a critical appraisal of surgical access and cosmesis in 31 patients. Clin Otolaryngol. 37:395–398. 2012.PubMed/NCBI View Article : Google Scholar

23 

Irvin GL III, Carneiro DM and Solorzano CC: Progress in the operative management of sporadic primary hyperparathyroidism over 34 years. Ann Surg. 239:704–708; discussion 708-711. 2004.PubMed/NCBI View Article : Google Scholar

24 

Runge T, Inglin R, Riss P, Selberherr A, Kaderli RM, Candinas D and Seiler CA: The advantages of extended subplatysmal dissection in thyroid surgery-the ‘mobile window’ technique. Langenbecks Arch Surg. 402:257–263. 2017.PubMed/NCBI View Article : Google Scholar

25 

Lin N, Yu L, Ma J and Wang Y: Minimally invasive non-endoscopic thyroidectomy with a low anterior cervical incision. Clin Oncol. 6(Article 1776)2021.

26 

Elkanovich T, Hajouj M and Ronen O: The natural neck crease as an anatomic landmark for thyroid surgery incision. Surgeon. 30:S1479–S1666. 2020.PubMed/NCBI View Article : Google Scholar

27 

Spear C, Geraci T, Bizekis C and Zervos M: Resection of an ectopic parathyroid adenoma via video-assisted mediastinoscopy. Semin Thorac Cardiovasc Surg. 31:323–325. 2019.PubMed/NCBI View Article : Google Scholar

28 

Liman ST, Topcu S, Dervisoglu E, Gorur GD, Elicora A, Burc K and Akgul AG: Excision of ectopic mediastinal parathyroid adenoma via parasternal videomediastinoscopy. Ann Thorac Cardiovasc Surg. 20:67–69. 2014.PubMed/NCBI View Article : Google Scholar

29 

Röösli C, Bortoluzzi L, Linder TE and Müller W: Role of minimal invasive surgery for primary and secondary hyperparathyroidism. Laryngorhinootologie. 88:460–464. 2009.PubMed/NCBI View Article : Google Scholar : (In German).

30 

Razzak R, McMullen T and Bédard ELR: Excision of middle mediastinal parathyroid adenoma by videoscopic assisted mediastinoscopy (VAM). J Thorac Dis. 8:2651–2653. 2016.PubMed/NCBI View Article : Google Scholar

31 

Tcherveniakov P, Menon A, Milton R, Papagiannopoulos K, Lansdown M and Thorpe JA: Video-assisted mediastinoscopy (VAM) for surgical resection of ectopic parathyroid adenoma. J Cardiothorac Surg. 2(41)2007.PubMed/NCBI View Article : Google Scholar

32 

Toktaş O, İliklerden Ü, Yerlikaya B, Kotan Ç and Batur A: Transcervical resection of two parathyroid adenomas located on the anterior mediastinum. Turk J Surg. 34:247–249. 2018.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Nistor CE, Stanciu‑Găvan C, Vasilescu F, Dumitru AV and Ciuche A: Attitude of the surgical approach in hyperparathyroidism: A retrospective study. Exp Ther Med 22: 959, 2021.
APA
Nistor, C.E., Stanciu‑Găvan, C., Vasilescu, F., Dumitru, A.V., & Ciuche, A. (2021). Attitude of the surgical approach in hyperparathyroidism: A retrospective study. Experimental and Therapeutic Medicine, 22, 959. https://doi.org/10.3892/etm.2021.10391
MLA
Nistor, C. E., Stanciu‑Găvan, C., Vasilescu, F., Dumitru, A. V., Ciuche, A."Attitude of the surgical approach in hyperparathyroidism: A retrospective study". Experimental and Therapeutic Medicine 22.3 (2021): 959.
Chicago
Nistor, C. E., Stanciu‑Găvan, C., Vasilescu, F., Dumitru, A. V., Ciuche, A."Attitude of the surgical approach in hyperparathyroidism: A retrospective study". Experimental and Therapeutic Medicine 22, no. 3 (2021): 959. https://doi.org/10.3892/etm.2021.10391
Copy and paste a formatted citation
x
Spandidos Publications style
Nistor CE, Stanciu‑Găvan C, Vasilescu F, Dumitru AV and Ciuche A: Attitude of the surgical approach in hyperparathyroidism: A retrospective study. Exp Ther Med 22: 959, 2021.
APA
Nistor, C.E., Stanciu‑Găvan, C., Vasilescu, F., Dumitru, A.V., & Ciuche, A. (2021). Attitude of the surgical approach in hyperparathyroidism: A retrospective study. Experimental and Therapeutic Medicine, 22, 959. https://doi.org/10.3892/etm.2021.10391
MLA
Nistor, C. E., Stanciu‑Găvan, C., Vasilescu, F., Dumitru, A. V., Ciuche, A."Attitude of the surgical approach in hyperparathyroidism: A retrospective study". Experimental and Therapeutic Medicine 22.3 (2021): 959.
Chicago
Nistor, C. E., Stanciu‑Găvan, C., Vasilescu, F., Dumitru, A. V., Ciuche, A."Attitude of the surgical approach in hyperparathyroidism: A retrospective study". Experimental and Therapeutic Medicine 22, no. 3 (2021): 959. https://doi.org/10.3892/etm.2021.10391
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