Persistent and recurrent hyperparathyroidism – Attitude - 21/11/24
Doi : 10.1016/j.amjsurg.2024.115826
Priscilla Francesca Procopio 1, Francesco Pennestrì 1, Annamaria Martullo, Marco Raffaelli ⁎ 
UOC Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
Centro di Ricerca in Chirurgia delle Ghiandole Endocrine e dell’Obesità, Università Cattolica del Sacro Cuore, Rome, Italy
∗Corresponding author. UOC Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Centro di Ricerca in Chirurgia delle Ghiandole Endocrine e dell'Obesità, Università Cattolica del Sacro Cuore, L.go Agostino Gemelli, 8, 00168, Rome, Italy.UOC Chirurgia Endocrina e MetabolicaFondazione Policlinico Universitario Agostino Gemelli IRCCSCentro di Ricerca in Chirurgia delle Ghiandole Endocrine e dell'ObesitàUniversità Cattolica del Sacro CuoreL.go Agostino Gemelli, 8Rome00168Italy
Highlights |
• | Management of persistent or recurrent hyperparathyroidism remains one of the greatest challenges in endocrine surgery. |
• | The higher rate of disease persistence compared to recurrence supports unsuccessful primary surgery as main cause of reoperations. |
• | Given the higher risk of postoperative complications, the indications for reoperation must be carefully evaluated. |
• | Biochemical assessment should be reconfirmed. Family history investigation and localization methods should be performed. |
• | Surgical experience represents the primary determinant in achieving effective disease control. |
Esquema
© 2024
Elsevier Inc. Reservados todos los derechos.
Vol 238
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