[Clinical aspects, diagnosis and surgical therapy of persistent primary hyperparathyroidism].
Between January 1991 and September 1991 424 patients were operated on for hyperparathyroidism (HPT) at the Department of Surgery, University of Heidelberg. In 8.5% of cases a persistent HPT was present. Our own rate of persistence was 5.4%. Ultrasound revealed the pathology in 44.2% while highly selective venous catheterization identified the correct side in 63.4%. 70% of all patients with persistent HPT required one operative revision, the remaining 30% having up to 3 revisions. 27 patients (75%) were operated on successfully. In 12 of these patients an ectopic adenoma was found. The adenoma was not identified intraoperatively in 2 patients (6.9%). One patient sustained permanent damage to the recurrent laryngeal nerve.
Chirurgische Universitätsklinik Heidelberg.
H J
HJ
Buhr
S
S
Graf
C
C
Herfarth
D000236:Adenoma / Q000150:complications / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D015592:Immunoradiometric Assay; D008297:Male; D008875:Middle Aged; D009377:Multiple Endocrine Neoplasia / Q000150:complications / Q000601:surgery; D010281:Parathyroid Hormone / Q000302:isolation & purification; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery; D012008:Recurrence; D012086:Reoperation
D010281:Parathyroid Hormone
Zur Klinik, Diagnostik und chirurgischen Therapie des persistierenden primären Hyperparathyreoidismus.