Technique of Parathyroidectomy

H. Jaap Bonjer, MD, PhD ■ Hajo A. Bruining, MD, PhD

One of the pioneers of parathyroid surgery, Edward D. Churchill, stated in 1931 that "the success of parathyroid surgery must lie in the ability of the surgeon to know a parathyroid gland when he sees it, to know the distribution of the glands, where they hide, and also to be delicate enough in technique to be able to make use of this knowledge."1 More than half a century later, this statement still describes perfectly the fundamentals of successful parathyroid surgery. Therefore, the embryology and anatomy of parathyroid glands are discussed before the description of the technique of parathyroidectomy.

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