Özet:

Primary hyperparathyroidism (pHPT) is characterized by the disorder in the regulation of calcium (Ca) metabolism in the uretime of an autonomous overparathyroid hormone (PTH) from one or more parathyroid glands, due to the disorder in the PTH and Ca levels or the disorder of one of them (Ca, PTH) in an inappropriate manner. 90–95% of the pHPT is a sporty type that is not associated with family and large endocrine organs tumors, and 5–10% is hereditary. 80-85 percent of pHPT is caused by single parathyroid adenoma, 4-5 percent by cystic adenoma, 10-15 percent by cystic hyperplasia and 1 percent by azina parathyroid cancer. The pHPT is biochemical. The only curative treatment of pHPT is the surgeon. The preference for surgery in pHPT is that the patient does not have hereditary HPT, does not have thyroid disease that requires surgery, the preoperative localization calismalarina and the findings in these calismals can be overwhelmed by the possibilities of intraoperative PTH use, the preference of the surgeon. The preoperative strategy for the achievement of a stable result can be revised to intraoperative findings if necessary. In the surgical treatment of pHPT, 2 basic clusters are the BBE and MIP yontems. BBE is an option that has solid results in pHPT's surgical treatment, considered as the golden standard and is not a continuously effective option, ragmen is the ideal approach to MIP clinically and radiologically single-glass disease dusunulen secilmis patients. Not a criterion that determines whether or not the negative is a surgical indication and is not a contraindication for parathyroid surgery. In the surgical treatment of the sporadic pHPT, both yontems are guvenli and effective yontems, ragmen, the contests about the effectiveness of both yontems are still ongoing. Basically performed surgery should not increase the risk of complications by minimizing the risk of persistent and recurrent disease, and should not increase the risk of complications. Any yontem that reduces the cur rate persists and increases the risk of secondary parathyroidectomy due to recurrent disease. In secondary parathyroidectomies performed by experienced surgeons, the basary rate of 90 per cent is not extended, ragmen can be obtained in the first surgeon with the patient's worst complication. In secondary surgery, the rate of complications is higher. When the second inputs are candlesticked, selectively surgery should be applied in the goruntulating keyboard. With a minimum of disection and a minimum of morbidity, the highest moisture can be stretched, the surgical strategy should be determined. In this calcium, we intended to determine which surgery therapy can be applied to those with pHPT.

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