[Excision under local anesthesia of parathyroid adenomas. Criteria of selection and control of effectiveness. 35 cases].
Primary hyperparathyroidism caused by an adenoma that has been identified and localized by ultrasonography can be treated through a limited approach route, under local anaesthesia, provided the effect of excision is controlled by a perioperative assay of urinary cAMP or, preferably, of plasma parathormone level, and provided the contra-indications of this method are respected. Thirty-three out of 35 patients have been successfully operated upon by this method. In case of failure confirmed by laboratory tests, local anaesthesia was only a prelude to cervicotomy under general anaesthesia.
Chapuis
Y
Y
Clinique chirurgicale, Hôpital Cochin, Paris.
Icard
P
P
Fulla
Y
Y
Nonnenmacher
L
L
Bonnichon
P
P
Richard
B
B
D000236:Adenoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D000242:Cyclic AMP / Q000652:urine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008722:Methods; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000601:surgery*
D010281:Parathyroid Hormone; D000242:Cyclic AMP
Exérèse sous anesthésie locale des adénomes parathyroïdiens. Critères de sélection et contrôle d'efficacité. 35 observations.