[Favorable results of minimally invasive surgery in the treatment of primary hyperparathyroidism].
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.
van Vroonhoven
T J
TJ
Afd. Heelkunde, Academisch Ziekenhuis, Utrecht.
van Dalen
A
A
Koppeschaar
H P
HP
Duursma
S A
SA
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
Gunstige resultaten van minimaal invasieve chirurgie bij de behandeling van primaire hyperparathyreoïdie.