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[Current approach to the diagnosis and treatment of primary hyperparathyroidism].

AIM
To optimize diagnosis and surgical treatment of patients with primary hyperparathyroidism.


MATERIAL AND METHODS
Retrospective comparative analysis of diagnosis and surgical treatment included 444 patients who were treated at the specialized department of endocrine surgery of Pirogov National Medical Surgical Center in 2012-2017. Archival materials and electronic databases of the clinic were applied.


RESULTS
It was developed the algorithm which may be used in most patients for minimally invasive parathyroidectomy. Minimally invasive surgery reduces the risk of complications and is associated with reliable efficacy and good cosmetic effect.