ECE2017 Eposter Presentations: Calcium and Bone Bone & Osteoporosis (37 abstracts)
Do the surgical outcomes change if the surgeon accompanies the endocrinologist during the preoperative ultrasonography examination?
Ibrahim Kilic 1 , Sefika Burcak Polat 2 , Sevgul Faki 2 , Mehmet Tokac 1 , Reyhan Ersoy 2 , Mehmet Kilic 3 & Bekir Cakir 2
1Department of Surgery, Ataturk Education and Research Hospital Education and Research Hospital, School of Medicine, Ankara, Turkey; 2Department of Endocrinology and Metabolism, Yildirim Beyazit University, School of Medicine, Ankara, Turkey; 3Department of Surgery, Yildirim Beyazit University, School of Medicine, Ankara, Turkey.
Introduction: Parathyroid surgical therapy differs because the glands are small and of variable number and location. Although localization studies have improved greatly, we may not reliably determine the number and location of all diseased glands preoperatively. Ultrasonography (US) is the most widely used imaging method. In this study, we aimed to demonstrate how the surgical outcomes change when the surgeon accompanies the endocrinologist during preoperative ultrasonography examination.
Methods: This prospective study included 50 patients with primary hyperparathyroidism (PHPT) who underwent a minimally invasive parathyroid adenomectomy under local anaesthesia at our institution from January 2014 to December 2015. The patients were divided in two groups. In group A, all patients underwent neck US performed by an experienced endocrinologist and the surgeon on the day of operation and the location of the lesion was specified by the surgeon. Group B patients were operated according to the previous US performed by the endocrinologist only.
Results: There were 25 patients in Group A and 25 patients in Group B. The two groups were similar in regard to demographical features, biochemical and hormonal parameters. Postoperative parathyroid hormone (PTH), calcium and phosphorus levels didn’t differ between the groups. In group A operation duration was significantly shorter compared to Group B (25.7 min vs 45 min, P=0.00).
Conclusion: Preoperative detection of hyperactive parathyroid glands is useful for minimizing the extent of surgical intervention, reducing operation time and decreasing the risk of perioperative complication.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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