Özet:

Curative treatment of primary hyperparathyroid (pHPT) is a surgeon. After surgery, persistence and disease can develop. In this study in our clinic we aimed at evaluating the rate of surgical cur in patients undergoing surgery with the cause of pHPT. In our clinic, the data of patients with parathyroidectomy due to pHPT were evaluated retrospectively by 2 surgeons with experience between 2000-2015 years. Patients followed for at least 6 months after the first parathyroidectomy were included in the study. In patients, the surgical cur, persistence and nursing rates were assessed. Results: In this period, 357 patients (293K, 64E) with an average age of 54,9+13,1 years, who were operated due to pHPT in our clinic, 368 initiatives were applied. In the first operation, 116 patients (32,5%) were subjected to bilateral neck exploration (BBE), 251 patients (67,5%) were subjected to unilateral neck exploration (UBE) or focused surgery (OC). In the first surgery, 343 patients (96.1 percent) were curated, 14 patients (13K, 1E) (3.9 percent) persisted. The preoperative assessment resulted in a secondary surgical procedure for 11 patients. 10 patients (90.%) were given UBE or OC, 1 patient was given partial sternotomy. 10 of the patients were taken. In 3 of these, solitary parathyroid adenoma was not removed during the first surgery, and in 7 patients there was a second adenoma. Four patients remained persistent (1.1%). In four patients, the disease developed in the follow-up (1.1%). The total currency rate was 97.8%. The only definitive treatment of pHPT is the surgeon. High surgical curve can be obtained by preoperative assessment and appropriate surgical planning. However, p-pHPT may develop especially depending on double adenoma or ectopic settlement. Patients with p-pHPT can be evaluated by revision methods, and with appropriate surgical planning, a high cur rate in secondary surgery can be achieved, which can increase the total surgical cur rate. The rate is rare. (SETB-2021-03-079)

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