title: [Technique and problems of total parathyroidectomy with autotransplantation in secondary hyperparathyroidism].
abstract: Between 1982 and 1990, 20 patients with chronic renal failure underwent total para-thyroidectomies and autotransplantations as treatment for secondary hyperparathyroidism. Fourteen cases were cured of their symptoms and their serum PTH levels was restored to normal. Recurrent hyperparathyroidism developed in 6 cases. In 3 of the 6 cases, excision of parathyroid tissue from the forearm could easily be performed under local anesthesia. Of the other cases, 2 had five and one had six glands. Several localizing methods should be performed before operation, in order to overlook the parathyroid glands in different anatomic positions.
authors.affiliation: Department of Urology, Kanazawa Medical University.
authors.forename: R
authors.initials: R
authors.lastname: Ikeda
authors.forename: K
authors.initials: K
authors.lastname: Suzuki
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: A
authors.initials: A
authors.lastname: Kikuyama
authors.forename: A
authors.initials: A
authors.lastname: Magome
authors.forename: K
authors.initials: K
authors.lastname: Kawamura
authors.forename: C
authors.initials: C
authors.lastname: Kido
authors.forename: T
authors.initials: T
authors.lastname: Ehara
authors.forename: K
authors.initials: K
authors.lastname: Miyazawa
authors.forename: T
authors.initials: T
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D005260:Female; D005542:Forearm; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000637:transplantation*; D016105:Parathyroidectomy / Q000379:methods; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic