Surgical management of hyperparathyroidism. a 24 years experience
Vázquez Quintana, E.
Boletin de la Asociacion Medica de Puerto Rico 87(7-9): 126-129
1995
ISSN/ISBN: 0004-4849 PMID: 8703266 Document Number: 701623
Our 24 years experience in the surgical treatment of 130 patients with primary hyperparathyroidism was presented. A single adenoma of the parathyroid glands was the predominant lesion. The lower parathyroid glands were more frequently the site of the adenoma, with the right lower gland presenting the highest incidence. The incidence of hyperplasia and carcinoma is similar to the reported literature. The offending glands were identified in the vast majority of the patients. The number of complications is significantly low with a zero surgical mortality. The utilization of preoperative localizing test is not recommended for the initial neck exploration. Satisfactory results can be obtained with a minimal work up.