[Long-term results of surgery of primary hyperparathyroidism].
The late results of operation for primary hyperparathyroidism were analysed in 52 patients operated between 1971 and 1987. All patients have a minimal 5 years follow-up, and answered a mailed questionnaire concerning their present state of health and recent serum calcium level. Recurrent hypercalcemia occurred in 5.7%. Hypocalcemia occurred in 30% immediately after operation; in 11.5% at six months, and in 7.7% at the final follow-up. The pathogenesis of such hypocalcemia is discussed. 66% of patients with urinary calculi are cured after neck exploration and urologic procedure. Finally 86.6% of the patients are normocalcemic at the final follow up, acting for the efficient and lasting character of the surgical treatment in primary hyperparathyroidism.
Kraimps
J L
JL
Service de Chirurgie Viscérale et Vasculaire, C.H.U. Poitiers, Hôpital Jean Bernard.
Deleplanque
G
G
Carretier
M
M
Barbier
J
J
D000236:Adenoma / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000209:etiology / Q000601:surgery*; D006965:Hyperplasia; D006996:Hypocalcemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010279:Parathyroid Diseases / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000601:surgery; D011183:Postoperative Complications; D013997:Time Factors
Résultats à long terme de la chirurgie de l'hyperparathyroidisme primaire.