ABSTRACT

Indications Parathyroidectomy is the only curative therapy for primary hyperparathyroidism

(PHPT). There is no debate in the surgical or medical community that parathyroidec­ tomy is indicated for patients with symptomatic PHPT. Many specialists also believe that parathyroidectomy is indicated for patients who clearly have a biochemical diagnosis of PHPT, but are asymptomatic. The success of parathyroidectomy for PHPT, with or without preoperative localization, is higher than 95% in the hands of experienced surgeons.