van Vroonhoven T J, Muller H
Br J Surg. 1978 May;65(5):297-300. doi: 10.1002/bjs.1800650502.
A review of 51 successful reoperations for persisting hypercalcaemia due to primary hyperparathyroidism shows that inadequate anatomical knowledge, inadequate surgical technique and unusual localizations of the parathyroids are the most frequent causes of failure of the primary operation. The majority of these failures are therefore preventable. There is a frequent need for cervical thymectomy in parathyroid surgery. Sternotomy is only very rarely necessary.
一项针对因原发性甲状旁腺功能亢进导致持续性高钙血症而进行的51例成功再次手术的回顾显示，解剖学知识不足、手术技术欠佳以及甲状旁腺位置异常是初次手术失败的最常见原因。因此，这些失败中的大多数是可以预防的。甲状旁腺手术中经常需要进行颈部胸腺切除术。胸骨切开术极少有必要进行。
