The effect of peroperative ultrasound used by the surgeon in parathyroidectomy on operation time.

Abstract

Purpose: One of the endocrine conditions that endocrinologists see the most frequently is primary hyperparathyroidism, which is brought on by a parathyroid adenoma. Minimally invasive parathyroidectomy (MIP) has become the first line of treatment for primary hyperparathyroidism due to solitary parathyroid adenoma. Surgeon-performed ultrasonography (SUS), which has been found to be extremely accurate in localizing aberrant glands, has been employed preoperatively to augment the sensitivity of high-resolution ultrasonography (hUS).

Methods: Two groups were randomly created from cases that underwent parathyroid surgery. In the first group, surgery was performed on 31 patients, taking into account the ultrasound results reported by radiology and the Technetium-99 m sestamibi scintigraphy results interpreted by the nuclear medicine clinic. In addition to the ultrasound results reported by radiology and the scintigraphy results interpreted by the nuclear medicine clinic, surgery was performed on 18 patients in the second group, that the surgeon applied ultrasound to them before the operation and separately evaluating the location of the parathyroid adenoma. Surgery time, hospital stay, pre and postoperative calcium and parathormon values were compared between the two groups.

Results: When groups 1 and 2 were compared in terms of surgical time and hospital stay, there was a statistically significant difference between the two groups (p < 0.05). In Group 2, the duration of operation and hospital stay was significantly shortened. There was no statistically significant difference between the groups in terms of pre- and postoperative calcium and parathormone values (p > 0.05).

Conclusions: We believe that the time required for surgery after a radiologist and surgeon performing ultrasonography is less than that required for surgery after radiologist performed ultrasonography demonstrating the efficacy of the surgery plus a radiologist and surgeon performing ultrasonography combination. We determined that the surgery time was statistically shorter in patients who underwent a radiologist and surgeon performing ultrasonography.