Journal of Surgery Concepts & Practice >

2022 , Vol. 27 >Issue 04: 346 - 350

DOI: https://doi.org/10.16139/j.1007-9610.2022.04.014

Original article

Total parathyroidectomy with forearm autotransplantation in treatment of secondary hyperparathyroidism

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  • a. Department of Thyroid and Breast Surgery, Xiaoshan Hospital Affiliated to Wenzhou Medical University,Zhejiang Xiaoshan 311200, China
    b. Department of Nephrology, Xiaoshan Hospital Affiliated to Wenzhou Medical University, Zhejiang Xiaoshan 311200, China

Received date: 2021-07-16

  Online published: 2022-09-20

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Abstract

Objective To analyze the clinical effect of total parathyroidectomy with forearm autotransplantation on secondary hyperparathyroidism. Methods From January 2017 to December 2020, calcium, phosphorus, intact parathyroid hormone, alkaline phosphatase and clinical symptoms of 26 patients who received total parathyroidectomy with forearm autotransplantation in our hospital were studied. The patients with end-stage renal disease in this study had persistent dialysis in the treatment of secondary hyperparathyroidism before admission. Results A total of 105 parathyroid glands of all patients were removed. The symptoms including ostalgia and itch of skin were improved or removed in all cases. Amount of calcium, phosphorus, alkaline phosphatase and intact parathyroid hormone in serum decreased significantly post-operative 3 and 6 months than before (P<0.05). The operation was performed all successful. One case(3.85%) recurred with postoperative complications in 2 cases(7.69%). Conclusions Total parathyroidectomy with forearm autotransplantation would be safe and effective for the treatment of refractory secondary hyperparathyroidism.

Key words： Parathyroid hormone; Hyperparathyroidism; Secondary; Parathyroidectomy; Autotransplantation

Cite this article

LI Rongguo, ZHANG Weijun, XU Tingyan, DU Qiwei . Total parathyroidectomy with forearm autotransplantation in treatment of secondary hyperparathyroidism[J]. Journal of Surgery Concepts & Practice, 2022 , 27(04) : 346 -350 . DOI: 10.16139/j.1007-9610.2022.04.014

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