Journal of Thyroid Disorders & Therapy
Open Access
ISSN: 2167-7948
+44 1300 500008
ISSN: 2167-7948
+44 1300 500008
Hiroki Uchida
Fujita Health University School of Medicine,
1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi 470-1192
Japan
Research Article
The Safety and Efficacy of Surgery for Primary Hyperparathyroidism without Intraoperative Parathyroid Hormone Measurement in Japan
Author(s): Hiroki Uchida, Yatsuka Hibi, Chikara Kagawa, Yumi Tomiie and Zenichi MoriseHiroki Uchida, Yatsuka Hibi, Chikara Kagawa, Yumi Tomiie and Zenichi Morise
Introduction: Primary hyperparathyroidism (PHP) is a curable disease because most patients have only one adenoma and can fully recover after adenoma removal at the location determined by preoperative imaging. However, many Japanese surgeons believe that intraoperative intact PTH measurement (IOPM) is essential to the surgery. Hence, many general surgeons in Japan are unable to perform surgeries for PHP in their local hospitals and must refer the patients to urban high volume centers that have introduced IOPM, even though they are experienced in general surgery and the surgery for PHP is technically simple and related to general surgery. So, we analyzed the relationship of surgical outcomes, with and without IOPM.
Method: Between January 2007 and December 2016, 183 consecutive patients with PHP underwent surgery in our institution. We perform.. View More»
DOI:
10.4172/2167-7948.1000224