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A Minimally Invasive Approach to Non-Standard Giant Initial Hyperparathyroidism

Primary hyperparathyroidism is an endocrine disease characterized by excessive secretion of parathyroid hormone against the background of normal or elevated levels of calcium in the blood of extensive parathyroid glands. The main treatment for hyperparathyroidism is surgery. Because of the aspiration and often variant anatomy of the development of parathyroidectomy, a precise opening of the structure of many is required to reach the paraadenoma. In this case, the surrounding nervous and vascular diseases are often injuries. The recurrent laryngeal nerve serves as a landmark for identifying pathological parathyroid glands, since the superior parathyroid glands lie behind the pathway of the recurrent laryngeal nerve, while the inferior parathyroid glands lie in front of the passage of the recurrent laryngeal nerve.

DOI: 10.52575/2687-0940-2023-46-1-92-99
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