{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T03:25:53Z","timestamp":1774409153019,"version":"3.50.1"},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2003,3,1]],"date-time":"2003-03-01T00:00:00Z","timestamp":1046476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2003,3]]},"abstract":"<jats:p>Abstract<\/jats:p><jats:p>Unilateral cervical exploration for primary hyperparathyroidism (PHPT) remains controversial. Critics of unilateral exploration have argued that this surgical strategy results in an unacceptably large number of patients with persistent or recurrent hypercalcemia following the initial operation due to undetected additional parathyroid pathology on the contralateral, unexplored side of the neck. We have reviewed retrospectively a large cohort of patients who were submitted to scan\u2010directed unilateral cervical exploration for PHPT following dual\u2010isotope subtraction scintigraphy and according to a standard protocol. Between January 1, 1985 and June 30, 1999 a series of 184 patients underwent scan\u2010directed unilateral neck exploration for PHPT. Following the initial operation three individuals (1.6%) demonstrated persistent hypercalcemia. At a mean follow\u2010up of 59\u00a0months (range 6\u2013168\u00a0months) none of the patients had developed recurrent hypercalcemia. Scan\u2010directed unilateral cervical exploration represents a valid surgical strategy for a significant proportion of patients with PHPT; and in this group of patients it does not lead to an increased incidence of persistent or recurrent hypercalcemia.<\/jats:p>","DOI":"10.1007\/s00268-002-6695-8","type":"journal-article","created":{"date-parts":[[2003,2,27]],"date-time":"2003-02-27T16:10:22Z","timestamp":1046362222000},"page":"339-342","source":"Crossref","is-referenced-by-count":55,"title":["Long\u2010term Outcome of Unilateral Parathyroid Exploration for Primary Hyperparathyroidism Due to Presumed Solitary Adenoma"],"prefix":"10.1002","volume":"27","author":[{"given":"Stanley","family":"Sidhu","sequence":"first","affiliation":[{"name":"Department of Endocrine Surgery, Ward 37 Royal Victoria Hospital BT12 6BA Belfast Northern Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian K.","family":"Neill","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery, Ward 37 Royal Victoria Hospital BT12 6BA Belfast Northern Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin F.J.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery, Ward 37 Royal Victoria Hospital BT12 6BA Belfast Northern Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,3]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-002-6695-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-002-6695-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-002-6695-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T16:17:35Z","timestamp":1704989855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-002-6695-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,3]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2003,3]]}},"alternative-id":["10.1007\/s00268-002-6695-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-002-6695-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,3]]}}}