title: [Surgery of primary hyperparathyroidism by unilateral approach under local anesthesia and peroperative assay of 1-84 parathyroid hormone].
abstract: By combining echography and per-operative hormone assay, surgery for primary hyperparathyroidism due to a single adenoma can be performed via a limited unilateral access route with local anaesthesia. In a recent series of 204 patients, this technique was not contraindicated in 88 (43%). The operation was successful in 81 of these (92%). In 8 cases, the operation had to be converted into bilateral cervicotomy under general anaesthesia. Six of them were successful. The overall cure rate was 98%. Peroperative assay of 1-84 parathyroid hormone is an essential element in this technique.
authors.affiliation: Clinique chirurgicale, Hôpital Cochin, Paris.
authors.forename: Y
authors.initials: Y
authors.lastname: Chapuis
authors.forename: B
authors.initials: B
authors.lastname: Richard
authors.forename: Y
authors.initials: Y
authors.lastname: Fulla
authors.forename: P
authors.initials: P
authors.lastname: Bonnichon
authors.forename: E
authors.initials: E
authors.lastname: Tarla
authors.forename: P
authors.initials: P
authors.lastname: Icard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000097:blood / Q000601:surgery*; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood*; D016105:Parathyroidectomy / Q000379:methods
chemical_list: D010281:Parathyroid Hormone
vernacular_title: Chirurgie de l'hyperparathyroïdie primaire par abord unilatéral sous anesthésie locale et dosage per-opératoire de la PTH 1-84.