{"title":"Strategies for reoperative parathyroidectomy","authors":"Sanjana Balachandra, Herbert Chen","doi":"10.1016/j.soi.2024.100078","DOIUrl":null,"url":null,"abstract":"<div><p>Reoperative parathyroidectomy presents unique challenges and increased risks compared to initial surgeries. A thorough preoperative assessment is crucial, incorporating history, physical exams, laboratory evaluations, imaging studies, operative notes, pathology reports analysis, and postoperative complication reviews. Ectopic parathyroid glands further complicate reoperative procedures, necessitating careful consideration in surgical planning. Radioguided parathyroidectomy offers a safe and successful option for reoperative cases, and is particularly beneficial for detecting ectopic glands.</p></div>","PeriodicalId":101191,"journal":{"name":"Surgical Oncology Insight","volume":"1 3","pages":"Article 100078"},"PeriodicalIF":0.0000,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950247024000872/pdfft?md5=6c57601d98cab6f5746a0382945304a7&pid=1-s2.0-S2950247024000872-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Oncology Insight","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950247024000872","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Reoperative parathyroidectomy presents unique challenges and increased risks compared to initial surgeries. A thorough preoperative assessment is crucial, incorporating history, physical exams, laboratory evaluations, imaging studies, operative notes, pathology reports analysis, and postoperative complication reviews. Ectopic parathyroid glands further complicate reoperative procedures, necessitating careful consideration in surgical planning. Radioguided parathyroidectomy offers a safe and successful option for reoperative cases, and is particularly beneficial for detecting ectopic glands.
甲状旁腺切除术再手术策略
与初次手术相比，再次手术甲状旁腺切除术面临着独特的挑战，风险也更高。全面的术前评估至关重要，包括病史、体格检查、实验室评估、影像学检查、手术记录、病理报告分析和术后并发症回顾。异位的甲状旁腺会使再次手术更加复杂，因此在制定手术计划时必须慎重考虑。放射引导甲状旁腺切除术为再手术病例提供了安全、成功的选择，尤其有利于检测异位腺体。
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