Primary hyperparathyroidism：A surgical treatment summary of 60 cases        WANG Song，DAI Wen-jie, JIANG Hong-chi, et al. Department of Thyroid and Breast Surgery，the First Affiliated Hospital of Harbin Medical University，Harbin 150001, China
Corresponding author：DAI Wen-jie，E-mail：davidhmu@163.com
Abstract    Objective    To summary the primary hyperparathyroidism surgery and perioperative treatment experience. Methods    The clinical data of 60 cases of primary hyperparathyroidism performed parathyroidectomy between January 1992 and December 2012 in Department of Thyroid and Breast Surgery, First Affiliated Hospital of Harbin Medicaid University were analyzed retrospectively. Results    Sixty cases were performed parathyroidectomy. There were 14 men and 46 women. A total of 74 pathological parathyroid bodies were resected. Postoperative pathological results indentified that there were 61（82.4%）parathyroid adenoma, 13（17.6%） parathyroid hyperplasia and no parathyroid carcinoma. After parathyroidectomy  PTH was all down to normal and  the blood calcium was declined too. The symptoms of low calcium appeared in 11 cases. After the vitamin D and calcium gluconate were used, the blood calcium was back to normal. There was no other complication. Conclusion    Perfect preoperative evaluation, correctly perioperative handle, experienced operative skills and individualized treatment can reduce the incidence of surgical complications and improve the patient's quality of life.