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  • Title: [Technique and problems of total parathyroidectomy with autotransplantation in secondary hyperparathyroidism].
    Author: Ikeda R, Suzuki K, Kobayashi S, Kikuyama A, Magome A, Kawamura K, Kido C, Ehara T, Miyazawa K, Tanaka T.
    Journal: Hinyokika Kiyo; 1991 Oct; 37(10):1209-13. PubMed ID: 1755413.
    Abstract:
    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.
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