[Surgical treatment of hyperparathyroidism--personal experience]

The authors submit their own experience with the surgical treatment of all types of hyperparathyroidism (HPT). Since 1992 till the end of April 2002 in the Institute of Clinical and Experimental Medicine 151 operations were performed in 132 patients, in particular secondary HPT (69.8%). Among surgical operations partial parathyroidectomy (PTE) predominated, as a rule without peroperative implantation of parts of the removed parathyroid glands(PT)(64.8%). The high ratio of this type of operations was due among others to a recent increase of tertiary posttransplantation HPT. Advanced secondary HPT of haemodialyzed patients was treated by total PTE with implantation of PT tissue. The incidence of surgical complications was low (7.1%) and insignificant from the aspect of the long-term postoperative condition. Persisting or relapsing HPT was revised in 15 patients (in 12.6% of all operations).