[Minimally invasive and endoscopic methods in surgical treatment of patients with primary hyperparathyroidism: advantages and limitations].

Results of surgical treatment of 212 patients with primary hyperparathyroidism (PHPT) within 2007-2009 years were analyzed. In 183 patients have been performed the conventional approach with revision of all 4 parathyroid glands, in 29- using minimally invasive methods (in 18 - endoscopic operations, in 11 - targeted operations through mini incision). Multi-glandular disease was observed in 5.2 % of all cases. Comparison of conventional and minimally invasive surgery demonstrates advantages of the endoscopic and targeted operations in cosmetic results and recovery time having the same rate of complications. The obligatory conditions for effective minimally invasive operations in patients with PHPT include undoubtful localisation of adenoma, diameter of tumor no more 3 cm, absence of thyroiditis, low risk of multiglandular disease, availability of quick parathyroid hormon assay (at least--one day result).