[Peri-operative management of the primary hyperparathyroidism]

Surgery for primary hyperparathyroidism has become one of the least invasive and safe procedures with the recent advances in the diagnosis and surgical technique. However, it is still difficult to prospect detailed post-operative conditions of the patient from the data of pre-operative examination. Because many factors related each other to make the preoperative conditions complicated. Thus, integrated interpretation of the patient is necessary before surgery, including general condition, coincidental disease, renal function, bone mineral density and its turnover, size and location of the lesion. Prevention and proper management of postoperative complications, such as hemorrhage, hypocalcemia, hoarseness and bone disease, is important for successful treatment of the disease.