Sakamoto W, Kishimoto T
Department of Urology, Osaka City General Hospital.
Nihon Rinsho. 1995 Apr;53(4):890-4.
Surgery for primary hyperparathyroidism (PHPT) is usually one of the most gratifying of all operations; however, at times, it can be one of the most frustrating. Parathyroidectomy has been practiced for about 70 years. During that time, a great deal of knowledge about the anatomy, embryology, pathology, and physiology of this disease has been acquired. Difficulties in parathyroidectomy for PHPT are due to the variability in the number of parathyroid glands, the different locations of normal and pathologic glands from others that are subtly diseased. To be successful, a parathyroid surgeon must have an excellent knowledge of the anatomy, embryology, and pathophysiology of the parathyroid glands. The results of parathyroid surgery for PHPT in the 1990s are excellent when done by experienced surgeons. These findings strongly advocate special training and interest in parathyroid surgery in order to ensure success.
原发性甲状旁腺功能亢进症（PHPT）的手术通常是所有手术中最令人满意的手术之一；然而，有时它也可能是最令人沮丧的手术之一。甲状旁腺切除术已经实施了大约70年。在那段时间里，人们已经获得了大量关于这种疾病的解剖学、胚胎学、病理学和生理学的知识。PHPT甲状旁腺切除术的困难在于甲状旁腺的数量变化、正常和病变腺体与其他轻微病变腺体的不同位置。要取得成功，甲状旁腺外科医生必须对甲状旁腺的解剖学、胚胎学和病理生理学有出色的了解。20世纪90年代，由经验丰富的外科医生进行的PHPT甲状旁腺手术结果非常出色。这些发现强烈主张对甲状旁腺手术进行特殊培训并培养兴趣，以确保手术成功。
