Results of Surgical Treatment of Renal Hyperparathyroidism

摘要: Objective: To assess the outcome of parathyroidectomy for renal failure—related hyperparathyroidism. Design: A retrospective analysis with a mean follow-up 4.34 years case series 67 consecutive patients failure—associated Setting: All were operated on at University Hospital Wales and Cardiff Royal Infirmary between October 1981 December 1991. Patients: Of patients, 35 receiving hemodialysis 32 had received transplant. Intervention: Total autotransplantation was performed in 52 subtotal 15. Main Outcome Measures: Symptomatic improvement after parathyroidectomy, normalization biochemical parameters, rate recurrent hyperparathyroidism parathyroidectomy. Results: occurred 81% 72% transplant patients. The best predictor successful relief skeletal pain an elevated preoperative alkaline phosphatase level. Recurrent developed four 38 total one 14 surviving five disease (22%). Conclusions: Transplant usually present less severe disease, have better parameters rarely develop compared Both result good control excellent symptoms. (Arch Surg. 1995;130:643-648)