[Technique and problems of total parathyroidectomy with autotransplantation in secondary hyperparathyroidism].
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.
Ikeda
R
R
Department of Urology, Kanazawa Medical University.
Suzuki
K
K
Kobayashi
S
S
Kikuyama
A
A
Magome
A
A
Kawamura
K
K
Kido
C
C
Ehara
T
T
Miyazawa
K
K
Tanaka
T
T
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