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Management of surgical diseases of Primary Hyperparathyroidism: indications of the United Italian Society of Endocrine Surgery (SIUEC)

  • Paolo Del Rio,
  • Marco Boniardi,
  • Loredana De Pasquale,
  • Giovanni Docimo,
  • Maurizio Iacobone,
  • Gabriele Materazzi,
  • Fabio Medas,
  • Michele Minuto,
  • Barbara Mullineris,
  • Andrea Polistena,
  • Marco Raffaelli,
  • Pietro Giorgio Calò

摘要

Abstract

A task force of the United Italian society of Endocrine Surgery (SIUEC) was commissioned to review the position statement on diagnostic, therapeutic and health‑care management protocol in parathyroid surgery published in 2014, at the light of new technologies, recent oncological concepts, and tailored approaches. The objective of this publication was to support surgeons with modern rational protocols of treatment that can be shared by health-care professionals, taking into account important clinical, healthcare and therapeutic aspects, as well as potential sequelae and complications. The task force consists of 12 members of the SIUEC highly trained and experienced in thyroid and parathyroid surgery. The main topics concern diagnostic test and localization studies, mode of admission and waiting time, therapeutic pathway (patient preparation for surgery, surgical treatment, postoperative management, management of major complications), hospital discharge and patient information, outpatient care and follow-up, outpatient initial management of patients with pHPT.