Cirugía radioguiada de paratiroides

Resumen

El hiperparatiroidismo primario es la principal causa de hipercalcemia en pacientes no hospitalizados, estando causado en el 85-90% de los casos por un adenoma solitario. La cirugía radioguiada (CRG) es una técnica quirúrgica mínimamente invasiva que emplea medicamentos radiofármacos para facilitar la localización y extirpación de lesiones benignas o malignas. La cirugía radioguiada de paratiroides (CRGP), como técnica GOSTT (Guided intraOperative Scintigraphic Tumor Targeting) y mínimamente invasiva, precisa de una prueba de diagnóstico por la imagen que permita localizar anatómicamente la lesión y establecer su comportamiento funcional. El MIBI-99mTc es el trazador de elección, debiendo siempre incluir estudios tomográficos, especialmente la SPECT-CT. Se emplea durante la CRGP junto con sondas intraoperatorias, gammacámaras y dispositivos SPECT portátiles, herramientas de navegación y sistemas robóticos laparoscópicos. La CRGP disminuye el tiempo quirúrgico, los costes hospitalarios y la morbilidad sobre el paciente, con una elevada efectividad y eficiencia.
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Rayo-Madrid, J. I., Martínez-Esteve, A., Infante De La Torre, J. R., Jiménez-Granero, P., Cobo-Rodriguez, A., & Serrano-Vicente, J. (2019). Cirugía radioguiada de paratiroides. Revista ORL, 11(3), 369–382. https://doi.org/10.14201/orl.21693

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Juan Ignacio Rayo-Madrid

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Complejo Hospitalario Universitario de Badajoz
Servicio de Medicina Nuclear

Andrés Martínez-Esteve

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Complejo Hospitalario Universitario de Badajoz
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José Rafael Infante De La Torre

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Complejo Hospitalario Universitario de Badajoz
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Pedro Jiménez-Granero

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Amparo Cobo-Rodriguez

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Justo Serrano-Vicente

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Complejo Hospitalario Universitario de Badajoz
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