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Document Details :
Title: Heelkundige behandeling van primaire hyperparathyreoïdie
Author(s): DEBRUYNE F, DELAERE P, VANDER POORTEN V
Journal: Tijdschrift voor Geneeskunde
Volume: 58 Issue: 10 Date: 2002
De preoperatieve en intraoperatieve bevindingen van 300 patiënten die geopereerd werden voor primaire hyperparathyreoïdie worden samengevat. Daarop aansluitend volgen enkele algemene beschouwingen over de heelkundige methode.
Surgical treatment of primary hyper-parathyroidism
The paper gives a survey of 300 patients operated on for primary hyperparathyroidism. Age, gender and clinical presentation were reviewed in the preoperative files. The female/male ratio was 3/1. One third of the patients could be considered as asymptomatic as regards their hyperparathyroidism. During surgery a solitary adenoma was found in 90% of the cases, while multiglandular disease was seen in 10% (a double adenoma in 5.3% and hyperplasia of the four parathyroid glands in 4.3%). Patients exhibiting hyperplasia were, on the average, younger, the female/male ratio being 1/1.
The surgical procedure and especially the controversy between the traditional bilateral approach and the unilateral or minimally invasive techniques are shortly discussed.