[Operative technique in primary hyperparathyroidism].
The aim of surgical intervention in the treatment of primary hyperparathyroidism (pHPT) is the achievement of normocalcemia and euparathyreosis. Despite improved diagnostic procedures containing comparatively modified pre- and intraoperative methods to determine the position of the parathyroid glands and the most efficient operative technique including minimal-invasive surgery thereof, success cannot be guaranteed. Therefore, we should strive to avoid reintervention by ensuring a hemorrhage-free, atraumatic, anatomical-orientated operation and providing positive preconditions for reoperation. Success is based on the four pillars of the HPT surgery: history, embryology with anatomy, neck surgery and experience. By means of this principle and the results of surgical treatment in 1634 patients with pHPT from 1982 until 1998, we demonstrate a standardized operative technique of pHPT.
Spelsberg
F
F
Abteilung für Allgemein- und Endokrine Chirurgie, Krankenhaus Martha-Maria, München.
Peller-Sautter
R H
RH
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019723:Endoscopes; D004724:Endoscopy; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D016105:Parathyroidectomy / Q000295:instrumentation / Q000379:methods*; D012086:Reoperation; D013525:Surgical Instruments