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Experience of Parathyroid Surgery in a Single Institution

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The Medical Journal of Chosun University (조선대학교 의대논문집)
조선대학교 의학연구원 (Institute of Medical Science, Chosun University)
초록

Surgery for thyroid disease is becoming much more common, but in some specialized institutions, ENT surgeons have difficulty obtaining experience of parathyroid surgery. Parathyroid disease can be divided into parathyroid adenoma with hyperparathyroidism and secondary hyperparathyroidism due to chronic kidney disease. Parathyroid adenoma with hyperparathyroidism is the most common cause of hypercalcemia and usually presents as nonspecific symptoms, such as, general weakness, osteoporosis, gastrointestinal disorder, kidney stones, and/or neurological symptoms, and thus, diagnosis is often delayed. Patients with secondary hyperparathyroidism due to chronic kidney disease require parathyroidectomy 10 years after the onset of dialysis in 6-10% of cases even when continuously treated in a nephrology department. Here, the authors share their experiences of parathyroid surgery.

목차
서 론
 대상 및 방법
 결 과
  나이 및 성비
  병리 조직학적 분류
  증상 및 검사 소견
  위치 확인을 위한 영상 검사
  수술 및 합병증
  수술후 경과 및 혈중 화학 검사 소견
 고 찰
 감사의 글
 참고문헌
저자
  • 심주환(조선대학교 의과대학 이비인후-두경부외과 교실, Departments of Otorhinolaryngology-Head and Neck Surgery, Chosun University School of Medicine) | Ju Hwan Sim
  • 한지혜(조선대학교 의과대학 이비인후-두경부외과 교실, Departments of Otorhinolaryngology-Head and Neck Surgery, Chosun University School of Medicine) | Ji Hye Han
  • 오정현(조선대학교 의과대학 이비인후-두경부외과 교실, Departments of Otorhinolaryngology-Head and Neck Surgery, Chosun University School of Medicine) | Jeong Hyun Oh
  • 김진화(내분비 내과학 교실, Internal Medicine and Division of Endocrinology & Metabolism, Chosun University School of Medicine) | Jin Hwa Kim
  • 김상용(내분비 내과학 교실, Internal Medicine and Division of Endocrinology & Metabolism, Chosun University School of Medicine) | Sang Yong Kim
  • 도남용(조선대학교 의과대학 이비인후-두경부외과 교실, Departments of Otorhinolaryngology-Head and Neck Surgery, Chosun University School of Medicine)
  • 박준희(조선대학교 의과대학 이비인후-두경부외과 교실, Departments of Otorhinolaryngology-Head and Neck Surgery, Chosun University School of Medicine) | Jun Hee Park Corresponding author