Surgery management of severe secondary hyperparathyroidism by parathyroidectomy combined with parathyroid tissue transplantation in forearm(report of 9 cases)
- VernacularTitle:甲状旁腺全切加前臂移植术治疗肾衰继发重症甲状旁腺功能亢进(附九例报告)
- Author:
Hongfei WU
;
Xiaoyun WANG
;
Wei ZHANG
- Publication Type:Journal Article
- Keywords:
Hyperparathyroidism,secondary;
Surigcal procedures,operative;
Transplantation
- From:
Chinese Journal of Urology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate parathyroidectomy combined with parathyroid tissue transplantation in forearm in the treatment of severe secondary hyperparathyroidism (SHP). Methods 9 cases treated with the procedure were reviewed.The diagnosis,operation indication and peri operative management were discussed. Results Thirty five hypertrophic parathyroids were resected from the 9 cases with SHP,and a left thyroidectomy was carried out for one case.Some parathyroid tissue has been grafted into the forearm for every patient.All of those grafts have survived.The symptoms va nished in all and the relevent laboratory tests recovered to normal after the surgery. Conclusions This surgical strategy is safe and effective for SHP not benefited from medical therapy.
