Surgical management of primary hyperparathyroidism: state of the art

Surg Clin North Am. 2009 Oct;89(5):1205-25. doi: 10.1016/j.suc.2009.06.014.


This article reviews the current state of the art regarding therapy for primary hyperparathyroidism. Clinical evaluation and indications for parathyroidectomy are described, followed by a review of surgical techniques currently being practiced and possible outcomes involved. Focused parathyroidectomy has become a successful alternative to conventional bilateral cervical exploration.

Publication types

  • Review

MeSH terms

  • Diagnostic Imaging
  • Humans
  • Hyperparathyroidism, Primary / diagnosis
  • Hyperparathyroidism, Primary / pathology
  • Hyperparathyroidism, Primary / surgery*
  • Minimally Invasive Surgical Procedures
  • Monitoring, Intraoperative
  • Parathyroid Glands / anatomy & histology
  • Parathyroid Glands / pathology
  • Parathyroid Glands / surgery
  • Parathyroidectomy / methods*