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Exposure of surgical staff in surgical probe applications in radioguided parathyroidectomy

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Abstract

The aim of this study is to calculate the exposure of surgical staff during radioguided parathyroidectomy. Two parathyroidectomy operations on patients with parathyroid adenoma were selected. Fifty-centimeter spaced circles were drawn surrounding the operation bed on the floor of the operation room. During the operation, radiation dose was measured according to the drawn circles at distances of 50–200 cm from the side of patient’s head, bilateral neck and abdomen while the patient lied on the operation bed. All the operations were recorded throughout with a video camera. Three physicians watched all records. The time spent at each distance for every staff during the operation was recorded. Whole body dose to senior surgeon was calculated as 8.78–11.00 μSv which means that a senior surgeon can perform 91–114 procedures per year to reach the annual International Commission on Radiological Protection (ICRP) radiation dose limit for a member of the public. We concluded that radiation risk to the surgical staff is low from radioguided parathyroidectomy.

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References

  1. Coakley AJ (1995) Parathyroid imaging. Nucl Med Commun 16:522–533. doi:10.1097/00006231-199507000-00002

    Article  PubMed  CAS  Google Scholar 

  2. Borley NR, Collins RE, O’Doherty M et al (1996) Technetium-99m sestamibi parathyroid localization is accurate enough for scan-directed unilateral neck exploration. Br J Surg 83:989–991. doi:10.1002/bjs.1800830734

    Article  PubMed  CAS  Google Scholar 

  3. Martinez DA, King DR, Romshe C et al (1995) Intraoperative identification of parathyroid gland pathology: a new approach. J Pediatr Surg 30:1306–1309. doi:10.1016/0022-3468(95)90491-3

    Article  PubMed  CAS  Google Scholar 

  4. Malhotra A, Silver CE, Deshpande V et al (1996) Preoperative parathyroid localization with sestamibi. Am J Surg 172:637–640. doi:10.1016/S0002-9610(96)00289-9

    Article  PubMed  CAS  Google Scholar 

  5. Ishibashi M, Nishida H, Hiromatsu Y et al (1998) Comparison of technetium-99m-MIBI, technetium-99m-tetrofosmin, ultrasound and MRI for localization of abnormal parathyroid glands. J Nucl Med 39(2):320–324

    PubMed  CAS  Google Scholar 

  6. Moka D, Voth E, Dietlein M et al (2000) Technetium 99m-MIBI-SPECT: a highly sensitive diagnostic tool for localization of parathyroid adenomas. Surgery 128(1):29–35. doi:10.1067/msy.2000.107066

    Article  PubMed  CAS  Google Scholar 

  7. Kaczirek K, Prager G, Kienast O et al (2003) Combined transmission and (99m)Tc-sestamibi emission tomography for localization of mediastinal parathyroid glands. Nuklearmedizin 42(5):220–223

    PubMed  CAS  Google Scholar 

  8. Norman J, Chheda H (1997) Minimally invasive parathyroidectomy facilitated by intraoperative nuclear mapping. Surgery 122(6):998–1003 discussion 1003-1004

    Article  PubMed  CAS  Google Scholar 

  9. Miccoli P, Monchik JM (2000) Minimally invasive parathyroid surgery. Surg Endosc 14(11):987–990. doi:10.1007/s004640000192

    Article  PubMed  CAS  Google Scholar 

  10. Goldstein RE, Blevins L, Delbeke D et al (2000) Effect of minimally invasive radioguided parathyroidectomy on efficacy, length of stay, and costs in the management of primary hyperparathyroidism. Ann Surg 231(5):732–742. doi:10.1097/00000658-200005000-00014

    Article  PubMed  CAS  Google Scholar 

  11. Flynn MB, Bumpous JM, Schill K et al (2000) Minimally invasive radioguided parathyroidectomy. J Am Coll Surg 191(1):24–31. doi:10.1016/S1072-7515(00)00297-0

    Article  PubMed  CAS  Google Scholar 

  12. Casara D, Rubello D, Pelizzo MR et al (2001) Clinical role of 99mTcO4/MIBI scan, ultrasound and intra-operative gamma probe in the performance of unilateral and minimally invasive surgery in primary hyperparathyroidism. Eur J Nucl Med 28(9):1351–1359. doi:10.1007/s002590100564

    Article  PubMed  CAS  Google Scholar 

  13. McGreal G, Winter DC, Sookhai S et al (2001) Minimally invasive, radioguided surgery for primary hyperparathyroidism. Ann Surg Oncol 8(10):856–860. doi:10.1007/s10434-001-0856-0

    Article  PubMed  CAS  Google Scholar 

  14. Rubello D, Casara D, Saladini G et al (2002) 99mTc-MIBI radio-guided surgery in primary hyperparathyroidism: a prospective study of 128 patients. Tumori 88(3):S63–S65

    PubMed  CAS  Google Scholar 

  15. Shabtai M, Ben-Haim M, Muntz Y et al (2003) 140 consecutive cases of minimally invasive, radio-guided parathyroidectomy. Surg Endosc 17(5):688–691. doi:10.1007/s00464-002-9198-7

    Article  PubMed  CAS  Google Scholar 

  16. Bekiş R, Aydın A, Taşcı C et al (2004) The role of gamma probe activity counts in minimally invasive parathyroidectomy. Nuklearmedizin 43:190–194

    PubMed  Google Scholar 

  17. Lee WJ, Ruda J, Stack BC Jr (2004) Minimally invasive radioguided parathyroidectomy using intraoperative sestamibi localization. Otolaryngol Clin North Am 37(4):789–98. doi:10.1016/j.otc.2004.02.010

    Article  PubMed  Google Scholar 

  18. Wilson MA (1998) Textbook of nuclear medicine. Lippincott-Raven, Philadelphia, p 396

    Google Scholar 

  19. Rubello D, Piotto A, Medi F et al (2005) ‘Low dose’ (99m) Tc-Sestamibi for radioguided surgery of primary hyperparathyroidism. Eur J Surg Oncol 31(2):191–196. doi:10.1016/j.ejso.2004.10.008

    Article  PubMed  CAS  Google Scholar 

  20. Rubello D, Al-Nahhas A, Mariani G, Gross MD, Rampin L, Pelizzo MR (2006) Feasibility and long-term results of focused radioguided parathyroidectomy using a “low” 37 MBq (1 mCi) 99mTc-sestamibi protocol. Int Semin Surg Oncol 15(3):30–35. doi:10.1186/1477-7800-3-30

    Article  Google Scholar 

  21. ICRP Publication 60 (1990) Recommendations of the internal commission on radiological protection, 60. Annals of the ICRP, vol. 21/1–3

  22. Waddington WA, Keshtgar MR, Taylor I et al (2000) Radiation safety of the sentinel lymph node technique in breast cancer. Eur J Nucl Med 27(4):377–391. doi:10.1007/s002590050520

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

Authors wish to thank Mustafa Sakar for the software support.

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Correspondence to Recep Bekiş.

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Bekiş, R., Çelik, P., Uysal, B. et al. Exposure of surgical staff in surgical probe applications in radioguided parathyroidectomy. Eur Arch Otorhinolaryngol 265, 1545–1548 (2008). https://doi.org/10.1007/s00405-008-0716-7

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  • DOI: https://doi.org/10.1007/s00405-008-0716-7

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