[Hyperparathyroidism in patients with chronic renal failure: subtotal parathyroidectomy or total parathyroidectomy with autotransplantation? Experience with 121 cases].
From 1973 to 1988 121 patients with chronic renal failure underwent parathyroidectomy (PTX) for secondary hyperparathyroidism. The surgical decision was made upon clinical and/or radiological signs and symptoms. Two kinds of operation were performed: Subtotal PTX 87 cases; Total PTX + parathyroid autograft 34 cases. Post-operative results are discussed. For all cases, the authors emphasize: the need of transcervical thymectomy (ectopic supernumerary gland = 17.3%); the need of routine cryopreservation. Subtotal PTX should be the routine operation. Total PTX with autograft is elicited when a combined thyroidectomy is performed, if parathyroid remnant's blood supply is questionable and in case of recurrent Secondary HPT.
Proye
C
C
Clinique Chirurgicale Adultes Est, Service de Chirurgie Générale et Endocrinienne, C.H.U. de Lille, Hôpital Huriez.
Carnaille
B
B
Sautier
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D015925:Cryopreservation; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000601:surgery* / Q000637:transplantation; D012008:Recurrence; D012086:Reoperation; D013934:Thymectomy; D013965:Thyroidectomy / Q000379:methods*; D014182:Transplantation, Autologous
Hyperparathyroïdie chez l'insuffisant rénal chronique: parathyroïdectomie subtotale ou parathyroïdectomie totale avec autotransplantation? Expérience de 121 observations.