{"id":23183,"date":"2018-03-09T09:13:39","date_gmt":"2018-03-09T09:13:39","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ciruga%c2%ada-radiodirigida-y-ma%c2%adnimamente-invasiva-del-hiperparatiroidismo-primario\/"},"modified":"2018-03-09T09:13:39","modified_gmt":"2018-03-09T09:13:39","slug":"ciruga%c2%ada-radiodirigida-y-ma%c2%adnimamente-invasiva-del-hiperparatiroidismo-primario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/ciruga%c2%ada-radiodirigida-y-ma%c2%adnimamente-invasiva-del-hiperparatiroidismo-primario\/","title":{"rendered":"Cirugia radiodirigida y m\u00ednimamente invasiva del hiperparatiroidismo primario"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Barrasa Shaw <\/strong><\/h2>\n<p>En m\u00e1s del 80% de los casos, el hiperparatiroidismo primario no recidivado est\u00e1 ocasionado por la alteraci\u00f3n de una sola de las gl\u00e1ndulas paratiroideas. sin embargo, el tratamiento cl\u00e1sico del hiperparatiroidismo primario consiste en la exploraci\u00f3n cervical bilateral identificando todas las gl\u00e1ndulas paratiroidieas y sin estudios de localizaci\u00f3n. En la \u00faltima d\u00e9cada, coindiciendo con la introducci\u00f3n de la gammagraf\u00eda con esetamibi se han descrito distintos protocolos de cirug\u00eda con abordaje unilateral. Entre ellos surge la posibilidad de utilizar sondas manuales de detecci\u00f3n gammagr\u00e1fica para identificar las gl\u00e1ndulas marcadas con sestamibi. En el trabajo se eval\u00faa la posibilidad de un abordaje unilateral en el hiperparatiroidismo primario facilitando por la sonda gammagr\u00e1fica manual.  se recogen 2 grupos de 20 pacientes. El primero incluye pacientes intervenidos de adenomas paratiroideos mediante cervicotom\u00eda bilateral y el segundo pacientes con cirug\u00eda radiodirigida. En este grupo de pacientes, en los que una gammagraf\u00eda con sestamibi muestra la existencia de un adenoma, se realiza una reinyecci\u00f3n de is\u00f3topo y con una sonda gammagr\u00e1fica manual se busca la radiaci\u00f3n emitida por el adenomia al capatar el is\u00f3topo. Se analizan la duraci\u00f3n de la cirug\u00eda, las complicaciones surgidas, la estancia postoperatoria, los contajes del adenoma y del cuello, los niveles de calcio, f\u00f3sforo y pth postoperatorio y a largo plazo y la satisfacci\u00f3n de los pacientes con el procedimiento y la cicatriz.  no se encontraron diferencias estad\u00edsticamente significativas en la mayor parte de las variables preoperatorias analizadas, mostrando la homogeneidad de los grupos. Las diferencias preoperatorias surgieron en las cifras de f\u00f3sforo, el peso y la ubicaci\u00f3n de los adenomas, si bien ninguna de ellas demostr\u00f3 ser un factor influyente en los resultados.  se puede apreciar un aumento estad\u00edsticamente significativo  del contaje rec<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia radiodirigida y m\u00ednimamente invasiva del hiperparatiroidismo primario<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia radiodirigida y m\u00ednimamente invasiva del hiperparatiroidismo primario <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Barrasa Shaw <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/05\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Augusto Garcia Villanueva<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Carda abella <\/li>\n<li> Rioja mart\u00edn Mar\u00eda  eugenia (vocal)<\/li>\n<li> Fern\u00e1ndez cebrian Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>M\u00aa  vicenta Collado guirao (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Barrasa Shaw En m\u00e1s del 80% de los casos, el hiperparatiroidismo primario no recidivado est\u00e1 ocasionado [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[17426],"tags":[68875,17537,68877,68878,17603,68876],"class_list":["post-23183","post","type-post","status-publish","format-standard","hentry","category-alcala","tag-antonio-barrasa-shaw","tag-augusto-garcia-villanueva","tag-fernandez-cebrian-jose-maria","tag-ma-vicenta-collado-guirao","tag-pedro-carda-abella","tag-rioja-martin-maria-eugenia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/23183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=23183"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/23183\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=23183"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=23183"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=23183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}