SURGICAL TREATMENT OF PRIMARY HYPERPARATHYROIDISM

Twelve patients with primary hyperparathyroidism (PHP) have been treated at our department during the past 18 years five men, average age 41 and seven women, 40.3). Investigations were undertaken concerning clinical details, such as age, clinical morbid type, period of morbidity, pathohistological type, anamneses, preoperative localization of the lesion, choice of surgical procedures, and complications.The 12 symptomatic patients included nine of the “bone change type” and “nephrolithiasis type, ” and their average ages by morbid type were: bone change type-40 and nephrolithiasis type-42.3.It is desirable to subject symptomatic PHP to surgical treatment as soon as possible once the diagnosis is established because of high renal complications.For 11 cases out of the 12, satisfactory surgical procedures were feasible through the cervical incision. And the time-consuming, expensive, invasive laboratory tests to localize the lesion can be avoided if diagnosis is made clinically.Palpation was possible preoperatively if the mass was larger than 2cm in diameter.