Surgical options for primary hyperparathyroidism.
Over the last two decades, surgery for primary hyperparathyroidism has evolved to offer a panel of procedures based on improvements in imaging, new technology and, consequently, novel surgical techniques. Multiple courses of action are possible, consistent with varying degrees of complexity. From the simplest scenario of a single adenoma localized by at least two preoperative tests in the context of sporadic primary hyperparathyroidism, to revision surgery related to recurrent, persistent or multiglandular disease, the surgeon has the opportunity to adapt his strategy. However, whatever surgical approach is used, even in the absence of formal guidelines, the clinical judgment of an experienced and skilled practitioner in endocrine surgery is the real guide and key of success in complex situations.
Department of surgery, surgery and abdominal transplantation division, cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Brussels, Belgium. Electronic address: michel.mourad@uclouvain.be.
Michel
M
Mourad
Department of surgery, surgery and abdominal transplantation division, cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Brussels, Belgium.
Antoine
A
Buemi
Department of surgery, surgery and abdominal transplantation division, cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Brussels, Belgium.
Tom
T
Darius
Department of internal medicine, endocrinology and nutrition division, université catholique de Louvain, cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Brussels, Belgium.
Dominique
D
Maiter
D000236:Adenoma / Q000601:surgery; D003952:Diagnostic Imaging; D013507:Endocrine Surgical Procedures / Q000379:methods / Q000639:trends; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000473:pathology / Q000601:surgery*; D010282:Parathyroid Neoplasms / Q000601:surgery; D016105:Parathyroidectomy / Q000379:methods
Hyperparathyroidism; Hyperparathyroïdie; Options chirurgicales; Surgical options