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Annals of Surgery Journal Club
Interactive resource for surgery residents and surgeons to discuss and critically evaluate articles published in Annals of Surgery selected by a monthly guest expert who will review an article each month, offer questions and respond to reader's comments.
Monday, January 30, 2012
Annals of Surgery Journal Club Final Comment from Herb Chen
The surgical approach to patients with primary hyperparathyroidism continues to be controversial. While Dr. Udelsman and colleagues believe that target or minimally invasive parathyroidectomy is optimal, a poll of the participants in this journal club suggest otherwise. In fact, by a ratio of 3:1, our readers do not agree with Dr. Udelsman’s conclusions and prefer bilateral exploration. Interestingly, there are data from multiple institutions, including our own, that with longer term follow-up minimally invasive parathyroidectomy may be associated with a slightly higher recurrence rate. In any case, in the hands of experienced surgeons, both techniques have been proven to be effective and safe. I think all surgeons can agree that the most effective therapy for patients with primary hyperparathyroidism is parathyroidectomy, and collectively we should advocate for referral of all patients with this disease for surgery. -Herb Chen, MD
About the Author

Jean-Nicolas Vauthey, MD, FACS
Dr. Vauthey is Chief of the Hepato-Pancreato-Biliary section and Bessie McGoldrick Professor in Clinical Cancer Research in the Department of Surgical Oncology at The University of Texas MD Anderson Cancer Center. Dr. Vauthey’s clinical research has focused on methods to measure and to improve outcome after hepatic resection for hepatobiliary malignancies. Dr. Vauthey has co-authored more than 350 publications in peer-reviewed journals (h-index, 74) and more than 85 reviews and book chapters in major textbooks. He is editor or co-editor of major textbooks devoted to hepatobiliary and pancreatic cancers.

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