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Updated: Aug 30, 2025
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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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Surgical Aspects of Primary Hyperparathyroidism
Nancy Perrier1, Brian H Lang2, Leonardo Costa Bandeira Farias3
1Department of Surgical Oncology, Section of Surgical Endocrinology, University of Texas M D Anderson Cancer Center, Houston, TX, USA.
Summary
Parathyroidectomy (PTX) is the primary treatment for symptomatic primary hyperparathyroidism (PHPT). This review provides global consensus on surgical techniques and management for PHPT, emphasizing low complication rates in high-volume centers.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Metabolic Bone Disease
Background:
- Primary hyperparathyroidism (PHPT) necessitates surgical intervention, particularly in symptomatic cases or those with target organ involvement.
- Current surgical practices for PHPT require updated consensus and standardized definitions.
- Advances in surgical techniques and perioperative management are crucial for optimizing outcomes.
Conclusions:
- This review presents the first global consensus on surgical management of PHPT.
- Standardized definitions and updated evidence guide current endocrine surgery practices worldwide.
- High-volume surgical centers achieve excellent outcomes with minimal complications in PHPT treatment.
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