[Clinical effect of parathyroidectomy for advanced renal hyperparathyroidism].
Advanced renal hyperparathyroidism induced not only osteitis fibrosa but also vessel and valvular calcification which affect high mortality due to cardiovascular disease. Parathyroidectomy usually promises dramatic clinical improvement of hyperparathyroidism. However, ectopic calcification except for tumor calcinosis is irreversible by parathyroidectomy. Then the surgery should be indicated at right time. Total parathyroidectomy with forearm autograft is suitable operative method for renal hyperparathyroidism, because removal of autograft can be less invasively performed at recurrence which is not negligible after the internal operation.
Tominaga
Yoshihiro
Y
Division of Surgery, Renal Center, Nagoya 2nd Red Cross Hospital.