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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Autores principales:	E. A. Ilyicheva, A. V. Zharkaya, D. A. Bulgatov, V. N. Makhutov, y. V. Borichevskiy, V. P. Karasev, G. Y. Aldaranov, G. A. Ovakimyan
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	thyroidectomy parathyroidectomy Science Q
Acceso en línea:	https://doaj.org/article/62415fd63b9c4843af38a47b2919389b
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spelling	oai:doaj.org-article:62415fd63b9c4843af38a47b2919389b2021-11-23T06:14:39ZEXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES2541-94202587-959610.12737/article_5a0a90007b9072.55673561https://doaj.org/article/62415fd63b9c4843af38a47b2919389b2017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/494https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. 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.E. A. IlyichevaA. V. ZharkayaD. A. BulgatovV. N. Makhutovy. V. BorichevskiyV. P. KarasevG. Y. AldaranovG. A. OvakimyanScientific Сentre for Family Health and Human Reproduction ProblemsarticlethyroidectomyparathyroidectomyScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 182-187 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	thyroidectomy parathyroidectomy Science Q
spellingShingle	thyroidectomy parathyroidectomy Science Q 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
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
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
title	EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES
title_short	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_sort	experience of surgical treatment of thyroid and parathyroid diseases
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/62415fd63b9c4843af38a47b2919389b
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
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EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES

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