World Journal of Surgery

, Volume 15, Issue 6, pp 688–692 | Cite as

Surgical treatment of primary hyperparathyroidism: An institutional perspective

  • Jon A. van Heerden
  • Clive S. Grant
Progress Symposium—Hyperparathroldism

Abstract

Three hundred and eighty-four consecutive patients with primary hyperparathyroidism (HPT) were surgically treated at a single institution during the 2 year period 1983 through 1984. Two patients were found to have benign familial hypocalciuric hypercalcemia and a single patient had parathyroid carcinoma. In the remaining 379 patients, the cure rate was 99.5%, the operative mortality 0.3%, persistent vocal cord paralysis 0.8%, and permanent hypocalcemia 0.3%. This data supports a liberal policy regarding cervical exploration in patients with HPT and questions any policy of observation without surgical intervention.

Résume

Trois cent quatre-vingt quatre patients consécutifs ayant une hyperparathyroÏdie (HPT) primitive ont été traités dans un seul centre pendant un intervalle de deux ans (1983–1984). Deux patients avaient une hypercalcémie hypocalciurique familiale bénigne et un patient, un cancer de la parathyroÏde. Chez les 379 autres patients, le taux de guérison était de 99.5%, la mortalité de 0.3%, la paralysie permanente des cordes vocales de 0.8% et l'hypocalcémie permanente de 0.3%. Ces données sont en faveur d'une exploration cervicale au moindre chez tout patient avec HPT: l'attitude non-interventionnelle n'est pas justifiée.

Resumen

Trescientos ochenta y cuatro pacientes consecutivos con hiperparatiroidismo primario (HPT) fueron sometidos a tratamiento quirÚrgico en una sóla institución en el periódo 1983 y 1984. Se hallaron dos pacientes con hipercalcemia hipocalciÚrica familiar y uno con carcinoma paratiroideo. En los restantes 379 pacientes la tasa de curación fue 99.5%, la mortalidad operatoria 0.3%, la parálisis persistente de cuerda vocal 0.8% y la hipocalcemia permanente 0.3%. Estos datos dan apoyo a una política liberal relativa a la exploración cervical en pacientes con HPT y cuestiona la política de observación sin intervención quirÚrgica.

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Copyright information

© Société Internationale de Chirurgie 1991

Authors and Affiliations

  • Jon A. van Heerden
    • 1
  • Clive S. Grant
    • 1
  1. 1.Department of SurgeryMayo Clinic and Mayo FoundationRochesterUSA

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