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L’Endocrinologo

, Volume 4, Issue 1, pp 12–18 | Cite as

Chirurgia dell’IPT primitivo

  • Guido Gasparri
  • Barbara Mullineris
  • Eleonora Raggio
Article
  • 21 Downloads

Riassunto

In questi ultimi anni, oltre alla strategia chirurgica tradizionale, che comporta una cervicotomia classica di 8–10 cm con riconoscimento di tutte e quattro le paratiroidi, asportazione dell’adenoma e biopsia di una paratiroide apparentemente normale, si sono sviluppate, grazie essenzialmente all’introduzione nella pratica clinica del dosaggio rapido intraoperatorio del paratormone, la chirurgia mininvasiva (MIP), la chirurgia videoassistita e videoscopica e la chirurgia radioguidata. La percentuale di successo dell’intervento chirurgico si assesta sul 95–99% in mani esperte, le paralisi ricorrenziali sono intorno allo 0,4% e l’ipoparatiroidismo definitivo è pari allo 0,2%. Dopo l’intervento in presenza di una modesta ipocalcemia sintomatica sono sufficienti supplementi di calcio e di vitamina D in forma attiva in grado di incrementare l’assorbimento intestinale del calcio. I pazienti sottoposti a intervento di paratiroidectomia per iperparatiroidismo primitivo necessitano di un follow-up di almeno 5 anni. La presenza di un centro di chirurgia endocrina dove poter studiare, operare e seguire i pazienti è un requisito importante per migliorare la qualà dei servizi offerti ai pazienti.

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Copyright information

© Springer International Publishing AG 2003

Authors and Affiliations

  • Guido Gasparri
    • 1
  • Barbara Mullineris
    • 1
  • Eleonora Raggio
    • 1
  1. 1.Dipartimento di Fisiopatologia Clinica, III Divisione Universitaria di Chirurgia GeneraleUniversità di TorinoTorinoItalia

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