중앙 경부 수술의 과거력이 있는 환자에서의 방사능 유도 최소 침습 부갑상선 절제술의 유용성

• 영문명: Usefulness of Minimally Invasive Radio-Guided Parathyroidectomy in Patients with Prior Central Neck Exploration
• 발행기관: 대한두경부종양학회
• 저자명: 이성환(Sung Hwan Lee) 김법우(Bup Woo Kim) 김국진(Kuk Jin Kim) 이용상(Yong Sang Lee) 정종주(Jong Ju Jeong) 남기현(Kee-Hyun Nam) 정웅윤(Woong Youn Chung) 장항석(Hang-Seok Chang) 박정수(Cheong Soo Park)
• 간행물 정보: 『대한두경부종양학회지』제25권 제2호, 138~142쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2009.11.30

영문 초록

Introduction ：Althouth bilateral exploration has been thought to be the standard therapeutic modality for primary hyperparathyroidism(pHPT) due to the admirable cure rate, questions have remained as to whether bi-lateral neck exploration for all patients with pHPT is needed because 80-85% of patients with pHPT have a single parathyroid adenoma. If the diseased parathyroid can be determined preoperatively, a directed and min-imal operation is appropriate using the recent innovations of preoperative diagnosis and operation techniques for parathyroid diseases, the radio-guided parathyroid surgery(RGPS) is one of the standards. In especial, RGPS has been reported beneficial in special circumstances, such as in recurrent disease, ectopic parathyroid, and in mediastinal parathyroid. It can be also useful for the parathyroid disease in previously explored or irradiated neck. Material and Methods ：We experienced 2 cases of pHPT successfully treated by RGPS in who previously un-derwent extensive neck dissection and concomitant external or internal radiotherapy. We adopted and modified the technique described by Dr. James Norman at the University of South Florida-the minimally invasive para-thyroidectomy using intraoperative nuclear mapping with 99mTc-sestamibi scanning and radioactivity detection probe. Results ：We acquired the successful results for these patients. Conclusion ：RGPS is thought to be the alternative technique for the patients with prior central neck exploration and irradiation.

목차

서 론

재료 및 방법

고 찰

결 론

키워드

Primary hyperparathyroidism Radio-guided parathyroid surgery 원발성 부갑상선기능항진증 방사능 유도 부갑상선 절제술.