This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Unilateral versus bilateral neck exploration for primary hyperparathyroidism: five year follow-up of a randomized controlled trial. Ann Surg 2007; 246: 976-981.

Published: 1st January 2007

Authors: Westerdahl J, Bergenfelz A.

Conclusion

Seventy-one of the original 91 patients were available for study at five years. Six had persistent (n=3) or recurrent (n=3) hyperparathyroidism. Of the four that originally had unilateral exploration, three had been explored bilaterally. Thus the initial unilateral exploration strategy was equally effective.

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