[Hyperparathyroidism. Clinical course and results of operative therapy]

Between 1974 and 1981 27 patients underwent parathyroid exploration for hyperparathyroidism at the Department of Surgery, University of Cologne. 18 patients could be reexamined postoperatively. Parathormone levels, serum calcium, serum phosphates and alkaline phosphatase in serum were measured. Recurrence of hyperparathyroidism did not occur. In our patients the excision of a single parathyroid adenoma and subtotal respectively total parathyroidectomy for parathyroid hyperplasia was the adequate therapy of hyperparathyroidism. Up to 82 months postoperatively the patients were without complaints. The determination of parathormone is an important factor in the follow-up program.