Tratamiento del hiperparatiroidismo primario mediante abordaje mínimamente invasivo

the unilateral boarding of the primary hiperparatiroidism constitutes a technical option increasingly secondhand and adapted for the characteristics of this surgery. this type of boarding has been possible for the appearance of the tc sestamibi, of the subspecialization of the surgery and of the determination of the pth intraoperatory. later we expose an epidemiological, descriptive and retrospective study from january 2004 to december 2008. during this time there were controlled in the hospital ramon and cajal of madrid a total of 195 patients for primary hiperparatiroidism. of them, 140 were submitted to unilateral exploration by suspicion of the solitary adenoma. the correlation between the findings of tc sestamibi and surgical was correct in all the cases (139) except one concerns to right or left side. it failed in 30 cases in which there was detected badly the top and low location. as for the results the adenoma was extirpated correctly in 135 of 140 patients. this way we can say that the combination of the gammagraphy, a surgeon with experience and the support of the pth intraoperatory they meet a high rate of treatment in case of adenomas in the unilateral boarding on a rate of hipercalcemia appellant or persistently between 3%-5%, rate similar to the obtained one for expert surgeons on having fulfilled an exploratory cervicotomy (considered "gold standard") but with minor postoperatory morbidity, minor pain and minor surgical time.