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1. Parathyroidectomy is the best approach for patients with PHPT.

2. Other studies have demonstrated relatively little effect of parathyroidectomy on anemia in patients with chronic renal failure. Senior investigator Dr.

3. Parathyroidectomy often had a favourable effect on the grave symptoms. Therefore, it may be considered in some cases of severe hyperparathyroidism secondary to chronic renal failure.

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4. Conclusion By endoscopic thyroidectomy and parathyroidectomy, the patients are lightly injured without scar in the neck. The quality of life is improved.

5. The exploratory parathyroidectomy can be successed on preoperative definite diagnosis and accurate localization, frozen section and quickly PTH determination in the operation.

6. The minimally invasive parathyroidectomy has been well developed, with a high cure-rate for primary hyperparathyroidism, because of the recent advances in the preoperative localization techniques.

7. Results Thyroidectomy and parathyroidectomy may be performed with endoscope or with the help of endoscope.

8. Indications for parathyroidectomy included renal osteodystrophy, pruritus, muscle weakness, bone fracture, and ectopic calcification.

9. Methods:PTH levels were measured in 97 patients 6 months after parathyroidectomy.

10. Objective To search for the significance of endoscopic thyroidectomy and parathyroidectomy.

11. They add, however, that "if proved, renal anemia might be considered as a new indication for parathyroidectomy in patients undergoing long-term dialysis. Arch Surg 2007;"

12. They add, however, that "if proved, renal anemia might be considered as a new indication for parathyroidectomy in patients undergoing long-term dialysis."

13. The aim of this study was to evaluate the risk of inadvertent parathyroidectomy(IPE) during thyroid cancer surgery.