JAMA surgery
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Practice Guideline
The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism.
Primary hyperparathyroidism (pHPT) is a common clinical problem for which the only definitive management is surgery. Surgical management has evolved considerably during the last several decades. ⋯ Evidence-based recommendations were created to assist clinicians in the optimal treatment of patients with pHPT.
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Widespread implementation of laparoscopic hemihepatectomy is currently limited by its technical difficulty, paucity of training opportunities, and perceived long and harmful learning curve. Studies confirming the possibility of a short and safe learning curve for laparoscopic hemihepatectomy could potentially benefit the further implementation of the technique. ⋯ Total laparoscopic hemihepatectomy is a feasible and safe procedure with an acceptable learning curve for conversions. Focus should now shift to providing adequate training opportunities for centers interested in implementing this technique.