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Titolo:
PARATHYROID SURGERY USING MONITORED ANESTHESIA CARE AS AN ALTERNATIVETO GENERAL-ANESTHESIA
Autore:
DITKOFF BA; CHABOT J; FEIND C; LOGERFO P;
Indirizzi:
COLUMBIA PRESBYTERIAN MED CTR,DEPT SURG,622 W 168TH ST,PH 14-131 NEW YORK NY 10032 COLUMBIA UNIV COLL PHYS & SURG,DEPT SURG NEW YORK NY 10032
Titolo Testata:
The American journal of surgery
fascicolo: 6, volume: 172, anno: 1996,
pagine: 698 - 700
SICI:
0002-9610(1996)172:6<698:PSUMAC>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
B.A. Ditkoff et al., "PARATHYROID SURGERY USING MONITORED ANESTHESIA CARE AS AN ALTERNATIVETO GENERAL-ANESTHESIA", The American journal of surgery, 172(6), 1996, pp. 698-700

Abstract

BACKGROUND: Although there have been several reports in the literature describing a renewed interest in performing thyroid surgery under local anesthesia (LA), there has been little information regarding parathyroid surgery under local anesthesia, METHODS: We retrospectively reviewed our experience of 49 LA parathyroid patients over a 9-year period at a single institution. A bilateral cervical block (C2-C3) was administered by a single surgeon using lidocaine and bupivacaine. RESULTS:The study included 39 females and 10 males with an average age of 62 years (range, 35-89 years). Every surgery was curative and the final pathology revealed 46 parathyroid adenomas and 3 cases of parathyroid hyperplasia. Forty-seven percent of the patients were discharged within6 hours of operation and the remaining patients had a 1.4-day averagelength of hospital stay. A group of age- and sex-matched controls whounderwent parathyroid surgery using general anesthesia (GA) served asa control group with 27% of operations performed as outpatients and an average length of stay of 1.6 days. Return to work averaged 6 days for the LA group versus 8 days for the GA, In the LA group, there was one instance of postoperative hemorrhage requiring reoperation and one instance of conversion to GA secondary to an inability to tolerate LA. There were no instances of recurrent laryngeal nerve injury or permanent hypoparathyroidism in either group. CONCLUSIONS: These data suggest that experienced surgeons can perform parathyroid surgery safely andeffectively using LA as an alternative to GA. (C) 1996 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 21:40:35