S.N. Pamputis, A.A. Kolobanov, D.S. Pamputis
Yaroslavl State Medical University, Yaroslavl
Pamputis S.N. ― D. Sc. (Medicine), associate professor, professor of the department of surgical diseases of Yaroslavl State Medical University
5 Revolutsionnaya Str., Yaroslavl, Russian Federation, 150000, tel. +7-902-334-55-59, e-mail: firstname.lastname@example.org
Abstract. The only radical method of treatment of primary hyperparathyreosis is the parathyroidectomy. Certain interest is attracted by the low-invasive parathyroidectomy under ultrasonic navigation with use of a radio-frequency or laser ablation meaning stage-by-stage removal of body.
Research objective was assessment of efficiency of use of a one-stage parathyroidectomy and stage-by-stage ultrasound-guided parathyroidectomy with use of a percutaneus laser ablation (PLA). Laboratory indicators of 138 patients with the executed one-stage parathyroidectomy and 49 patients with stage-by-stage ultrasound-guided parathyroidectomy with use of PLA were studied. The comparative analysis of results of performance of essentially different options of a parathyroidectomy which are carried out in the conditions of a specialized surgical hospital (one-stage) and in out-patient and polyclinic conditions (stage-by-stage with use of PLA) allowed to reveal lack of reliable distinctions when rendering the expeditious help. The key laboratory indicators had comparable parameters that speaks about equal medical efficiency. The results received in a research allow to consider specific features of the patient and to approach selectively rendering the specialized surgical help to patients with primary hyperparathyreosis.
Key words: primary hyperparathyreosis, parathyroidectomy, ultrasound-guided, percutaneus laser ablation, parathyroid hormone, calcium.