title: [Favorable results of minimally invasive surgery in the treatment of primary hyperparathyroidism].
abstract: OBJECTIVE
  To study the appropriateness of minimally invasive surgical treatment of primary hyperparathyroidism.
  
  
  METHODS
  Prospective.
  
  
  METHODS
  University Hospital Utrecht, the Netherlands.
  
  
  METHODS
  In patients with primary hyperparathyroidism, parathyroid adenomas were located preoperatively by means of Doppler assisted ultrasonography and spiral computer tomography. If the results were positive, minimally invasive surgery was performed.
  
  
  RESULTS
  Minimally invasive surgery was carried out in 13 out of 15 successive patients with good results (the serum calcium and parathyroid hormone levels returned to normal). Two patients were subjected to conventional neck exploration, also with good results (preoperatively several adenomas were suspected in one, while no adenoma was seen in the other).
  
  
  CONCLUSIONS
  It can be calculated that minimally invasive surgery will probably suffice in 60-70% of the patients with primary hyperparathyroidism, so that conventional neck exploration can be avoided.
authors.affiliation: Afd. Heelkunde, Academisch Ziekenhuis, Utrecht.
authors.forename: T J
authors.initials: TJ
authors.lastname: van Vroonhoven
authors.forename: A
authors.initials: A
authors.lastname: van Dalen
authors.forename: H P
authors.initials: HP
authors.lastname: Koppeschaar
authors.forename: S A
authors.initials: SA
authors.lastname: Duursma
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D016105:Parathyroidectomy / Q000379:methods; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
vernacular_title: Gunstige resultaten van minimaal invasieve chirurgie bij de behandeling van primaire hyperparathyreoïdie.