EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES
Background. In our country some aspects of thyroid and parathyroid surgery are still discussed. Aim. To present our experience in surgical treatment of benign diseases of the thyroid and parathyroid glands. Materials and methods. A retrospective analysis of the results of surgical treatment of 1511...
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Scientific Сentre for Family Health and Human Reproduction Problems
2017-11-01
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| Series: | Acta Biomedica Scientifica |
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| Online Access: | https://www.actabiomedica.ru/jour/article/view/494 |
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| author | E. A. Ilyicheva A. V. Zharkaya D. A. Bulgatov V. N. Makhutov y. V. Borichevskiy V. P. Karasev G. Y. Aldaranov G. A. Ovakimyan |
| author_facet | E. A. Ilyicheva A. V. Zharkaya D. A. Bulgatov V. N. Makhutov y. V. Borichevskiy V. P. Karasev G. Y. Aldaranov G. A. Ovakimyan |
| author_sort | E. A. Ilyicheva |
| collection | DOAJ |
| description | Background. In our country some aspects of thyroid and parathyroid surgery are still discussed. Aim. To present our experience in surgical treatment of benign diseases of the thyroid and parathyroid glands. Materials and methods. A retrospective analysis of the results of surgical treatment of 1511 patients with thyroid and parathyroid disease was performed. Results. Thyroidectomy was performed in 73.6 % of cases with thyroid diseases. The frequency of postoperative complications: laryngeal paresis -1.37 %, hypoparathyroidism - 0.84 %, hemorrhagic complications -1.2 %. Selective parathyroidectomy was performed in 99 % of cases with primary hyperparathyroidism. Persistent hypoparathyroidism and laryngeal paresis have not been identified. Total parathyroidectomy with central neck dissection, upper mediastinum and upper horn of the thymus gland was performed in 66.3 % of cases with secondary hyperparathyroidism. Persistent laryngeal paresis was established in 3.3 % of cases, hemorrhagic complications - in 3.3 %. Conclusions. Constant analysis of our own results gives us reasons for our own attitude to the controversial issues of thyroid and parathyroid surgery. Presently, we prefer thyroidectomy in the treatment of diffuse toxic goiter and multinodular goiter, hemithyroidectomy - for the single-node goiter. In the surgical treatment of primary and uremic hyperparathyroidism, we consider mandatory the use of intraoperative monitoring of intact parathyroid hormone. When performing total parathyroidectomy, we perform the autotransplantation of the fragment of the parathyroid gland. |
| format | Article |
| id | doaj-art-62415fd63b9c4843af38a47b2919389b |
| institution | Kabale University |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| publishDate | 2017-11-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj-art-62415fd63b9c4843af38a47b2919389b2025-08-20T03:56:54ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962017-11-012618218710.12737/article_5a0a90007b9072.55673561494EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASESE. A. Ilyicheva0A. V. Zharkaya1D. A. Bulgatov2V. N. Makhutov3y. V. Borichevskiy4V. P. Karasev5G. Y. Aldaranov6G. A. Ovakimyan7ФГБНУ «Иркутский научный центр хирургии и травматологии»; ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»ФГБНУ «Иркутский научный центр хирургии и травматологии»; ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»ФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава РоссииГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»Background. In our country some aspects of thyroid and parathyroid surgery are still discussed. Aim. To present our experience in surgical treatment of benign diseases of the thyroid and parathyroid glands. Materials and methods. A retrospective analysis of the results of surgical treatment of 1511 patients with thyroid and parathyroid disease was performed. Results. Thyroidectomy was performed in 73.6 % of cases with thyroid diseases. The frequency of postoperative complications: laryngeal paresis -1.37 %, hypoparathyroidism - 0.84 %, hemorrhagic complications -1.2 %. Selective parathyroidectomy was performed in 99 % of cases with primary hyperparathyroidism. Persistent hypoparathyroidism and laryngeal paresis have not been identified. Total parathyroidectomy with central neck dissection, upper mediastinum and upper horn of the thymus gland was performed in 66.3 % of cases with secondary hyperparathyroidism. Persistent laryngeal paresis was established in 3.3 % of cases, hemorrhagic complications - in 3.3 %. Conclusions. Constant analysis of our own results gives us reasons for our own attitude to the controversial issues of thyroid and parathyroid surgery. Presently, we prefer thyroidectomy in the treatment of diffuse toxic goiter and multinodular goiter, hemithyroidectomy - for the single-node goiter. In the surgical treatment of primary and uremic hyperparathyroidism, we consider mandatory the use of intraoperative monitoring of intact parathyroid hormone. When performing total parathyroidectomy, we perform the autotransplantation of the fragment of the parathyroid gland.https://www.actabiomedica.ru/jour/article/view/494thyroidectomyparathyroidectomy |
| spellingShingle | E. A. Ilyicheva A. V. Zharkaya D. A. Bulgatov V. N. Makhutov y. V. Borichevskiy V. P. Karasev G. Y. Aldaranov G. A. Ovakimyan EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES Acta Biomedica Scientifica thyroidectomy parathyroidectomy |
| title | EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES |
| title_full | EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES |
| title_fullStr | EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES |
| title_full_unstemmed | EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES |
| title_short | EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES |
| title_sort | experience of surgical treatment of thyroid and parathyroid diseases |
| topic | thyroidectomy parathyroidectomy |
| url | https://www.actabiomedica.ru/jour/article/view/494 |
| work_keys_str_mv | AT eailyicheva experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT avzharkaya experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT dabulgatov experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT vnmakhutov experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT yvborichevskiy experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT vpkarasev experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT gyaldaranov experienceofsurgicaltreatmentofthyroidandparathyroiddiseases AT gaovakimyan experienceofsurgicaltreatmentofthyroidandparathyroiddiseases |