The first 50 cases of primary hyperparathyroidism treated by an endocrine surgery team.
BACKGROUND
Primary hyperparathyroidism (HPT) is a common endocrine disease treated very effectively by surgery. There have been changes in the management of parathyroid surgery in our hospital: since 1991, all patients have been treated by a service of endocrine surgery.


OBJECTIVE
To analyze the outcome of the first 50 patients treated in the endocrine surgery service.


METHODS
A prospective analysis of clinical characteristics, laboratory studies, intraoperative findings, surgical complications and outcome of 50 patients with primary HPT seen between July 1991 and March 1994 was performed.


RESULTS
Ten patients were male and 40 female with a mean age of 53 years. A parathyroid adenoma was found in 43 patients, a parathyroid hyperplasia in five, a double adenoma in one and an adenoma in a supernumerary gland in one patient. Surgical cure of the disease was achieved in 96% of the patients after one surgical procedure and in 100% during the same hospital stay after repeat cervical exploration.


CONCLUSIONS
Our results support the use of surgical cervical exploration in the treatment of primary HPT.
Rodríguez-Sancho
L C
LC
Department of Surgery, Instituto Nacional de la Nutrición Salvador Zubiran, Mexico City.
Pantoja
J P
JP
Gamino
R
R
Reza
A
A
Rull
J A
JA
Herrera
M F
MF
D000236:Adenoma / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001851:Bone Diseases, Metabolic / Q000209:etiology; D002828:Choristoma / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000097:blood / Q000209:etiology / Q000601:surgery*; D006965:Hyperplasia; D007011:Hypoparathyroidism / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009333:Neck; D010280:Parathyroid Glands / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy; D010348:Patient Care Team; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography; D014545:Urinary Calculi / Q000209:etiology