<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932020000300006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía Radioguiada en el tratamiento del hiperparatiroidismo primario]]></article-title>
<article-title xml:lang="en"><![CDATA[Radioguided Surgery in the Treatment of Primary Hyperparathyroidism]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Fernández]]></surname>
<given-names><![CDATA[Ramón Filiberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pavel Polo]]></surname>
<given-names><![CDATA[Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Infante Amorós]]></surname>
<given-names><![CDATA[Adalberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Álvarez]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Díaz]]></surname>
<given-names><![CDATA[Adlín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932020000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932020000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932020000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El tratamiento quirúrgico ha evolucionado desde la exploración abierta bilateral del cuello hasta la cirugía de invasión mínima. En este momento, la paratiroidectomía mínimamente invasiva en pacientes con hiperparatiroidismo primario es la técnica de elección.  Objetivo:  Describir los resultados del tratamiento quirúrgico del hiperparatiroidismo primario con el uso de la sonda gamma transoperatoria.  Métodos:  Se realizó un estudio descriptivo y longitudinal, de tipo serie de casos. La muestra estuvo constituida por 29 pacientes con tratamiento quirúrgico radioguiada para el hiperparatiroidismo primario en el Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221; entre marzo de 2007 a diciembre de 2014.  Resultados:  De los 29 pacientes, 21 no presentaban enfermedad tiroidea asociada, tenían una mediana de edad de 52 años, con predominio femenino (80,9 %), la enfermedad renal resultó ser el síntoma más frecuente (52,4 %), el adenoma paratiroideo fue el diagnóstico anatomopatológico con mayor por ciento (85,7 %). Presentaron complicaciones posoperatorias el 38,1 % y la hipocalcemia transitoria estuvo en un 28,6 %. La media de la estadía posoperatoria fue de 3,37 días y la curación de 90,5 %. En los ocho pacientes con enfermedad tiroidea asociada tenían una mediana de edad de 58 años y predominio femenino (62,5 %). Prevaleció el dolor articular y la fatiga (50 %) como síntomas previos y como diagnóstico anatomopatológico el adenoma paratiroideo (62,5 %). Las complicaciones presentes en un 37,5 % y la más frecuente la hipocalcemia transitoria (25,0 %). La curación estuvo en 62,5 % y la media de la estadía posoperatoria en 2,47 días.  Conclusiones:  Los resultados alcanzados evidencian la utilidad de la cirugía radioguiada en el tratamiento del hiperparatiroidismo primario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Surgical treatment has evolved from bilateral open neck exploration to minimally invasive surgery. Currently, minimally invasive parathyroidectomy in patients with primary hyperparathyroidism is the technique of choice.  Objective:  To describe the outcomes of surgical treatment of primary hyperparathyroidism with the use of the intraoperative gamma probe.  Methods: A descriptive and longitudinal study of case series was carried out. The sample consisted of 29 patients who received radioguided surgical treatment for primary hyperparathyroidism at Hermanos Ameijeiras Clinical-Surgical Hospital between March 2007 and December 2014.  Results: Of the 29 patients, 21 did not present associated thyroid disease. Their median age was 52 years. They were predominantly female (80.9%). Kidney disease was the most frequent symptom (52.4%). Parathyroid adenoma was the anatomopathological diagnosis with the highest percentage value (85.7%). 38.1% presented postoperative complications and transient hypocalcemia accounted for 28.6%. The mean for postoperative stay was 3.37 days and for healing was 90.5%. In the eight patients with associated thyroid disease, the mean age was 58 years, and there was predominance of the female sex (62.5%). Joint pain and fatigue, accounting for 50%, prevailed as previous symptoms; while parathyroid adenoma, accounting for 62.5%, prevailed as anatomopathological diagnosis. Complications were present in 37.5% and the most frequent was transient hypocalcemia (25.0%). Healing accounted for 62.5% and the mean postoperative stay was 2.47 days.  Conclusions:  The results obtained show the usefulness of radioguided surgery in the treatment of primary hyperparathyroidism.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hiperparatiroidismo primario]]></kwd>
<kwd lng="es"><![CDATA[paratiroidectomías]]></kwd>
<kwd lng="es"><![CDATA[paratohormona intraoperatoria]]></kwd>
<kwd lng="en"><![CDATA[primary hyperparathyroidism]]></kwd>
<kwd lng="en"><![CDATA[parathyroidectomies]]></kwd>
<kwd lng="en"><![CDATA[intraoperative parathyroid hormone]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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