ABSTRACT
INTRODUCTION: The treatment of benign multinodular goiter (BMNB) is a matter of ongoing debate in recent decades despite evidence that total thyroidectomy (TT) is associated with a significant reduction in disease recurrence and minimal morbidity in trained hands. OBJECTIVE: Determine BMNB recurrence after 10 years in 100 patients treated with TT and evaluate the technique-related complications. DESIGN: Prospective non randomized. MATERIAL AND METHODS: From March 1999 to March 2001, one hundred patients, 95 female, with an average age of 42.4 years (range 23-67) underwent TT for having a BMNB, which was confirmed by cervical ultrasound, which also served as a guide to perform fine-needle aspiration (FNA). In all cases, laryngoscopy was performed before and after post-surgical bitstream. RESULTS: Mean operative time was 49 minutes (range 35-58). Recurrencial recorded paralysis (1
) and five hypoparathyroidism (5
), both transient and no definitive case. All patients were discharged within 24 hours of surgery. We did not record any recurrence BMNB a follow-up period of more than 10 years. CONCLUSION: The TT is the treatment choice of BMNB, being an effective, safe, with low rates of complications and to avoid or significantly reduce the recurrence of this disease.
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Thyroidectomy , Goiter, Nodular/surgery , Thyroidectomy/adverse effects , Follow-Up Studies , Treatment OutcomeABSTRACT
Los feocromocitomas adrenales y extra-adrenales o paragangliomas funcionantes constituyen una causa inusual de hipertensión arterial pasible de ser tratada mediante el tratamiento laparoscópico...El abordaje laparoscópico de feocromacitomas adrenales funcionantes constituye un método seguro y efectivo, siendo considerado actualmente el procedimiento de elección. Los avances de los métodos por imágenes de localización pre-operatoria y el continuo desarrollo quirúrgico laparoscópico permitirán, en un futuro no muy lejano, imponer el acceso laparascópico también como vía de elección en feocromocitomas extra-adrenales o paragangliomas. La alta incidencia de bilateralidad y compromiso extraadrenal justifica, a nuestro entender, la triple evaluación imagenológica (TAC-RMN-Centellografía MIBG) en todos los pacientes.
Subject(s)
Humans , Hypertension/therapy , Laparoscopy , Magnetic Resonance Imaging , Adrenal Medulla/surgery , Metanephrine/analysis , Para-Aortic Bodies , Retrospective StudiesABSTRACT
La insulinoma se origina en las células de los islotes pancreáticos. Es un tumor poco común que ocurre en aproximadamente 1 a 6 personas por millones de habitantes por año. Predomina en el sexo femenino, entre los 40 y 60 años de edad. Se estima que aproximadamente entre el 6 al 10% son neoplasias malignas. El objetivo del trabajo es la presentación de un paciente con recurrencia del cuadro clínico (hipoglucemia, hiperinsulinismo) asociado a metástasis hepáticas 15 años después de la resección de un insulinoma pancreático...
Insulinoma is a neoplasm that arises from the pancreatic insulin-producing cells. It is a rare tumor that occurs in approximately 1 to 6 persons per million of population per year. Predominates in females, between 40 and 60 years of age. It is estimated that approximately 6 to 10% are malignant. Objective: the presentation of a patient with recurrence of clinical symptoms (hypoglycemia, hyperinsulinism) associated with liver metastases 15 years after resection of a pancretic insulinoma..