ABSTRACT
Introduction 510
The calcium-PTH relationship and the calcium-sensing
receptor 511
Primary hyperparathyroidism 511
Secondary hyperparathyroidism 512
Tertiary hyperparathyroidism 512
Familial hyperparathyroidism 512
Treatment policy 513
Parathyroid localization 515
Surgical anatomy 516
Surgical pathology 517
Intraoperative PTH monitoring 517
Surgical treatment of primary hyperparathyroidism 517
Minimal access parathyroidectomy/video-assisted/
laparoscopic parathyroidectomy 520
Autotransplantation of parathyroid tissue 521
Cryopreservation 521
Postoperative hypocalcaemia 522
Management of postoperative calcium levels 522
Protocol 522
Management of acute hypercalcaemia 523
Surgical failure and reoperative parathyroid surgery 523
Parathyroid carcinoma 524
Key evidence 524
Key learning points 524
References 524
From there to here, from here to there, funny things are everywhere.
