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[Surgical treatment of secondary hyperparathyroidism]
L Santini1, G Conzo, A Giordano
1Istituto di Semeiotica Chirurgica, Facoltà di Medicina e Chirurgia, Seconda Università degli Studi, Napoli.
Background:
Surgical treatment in the patient effected by secondary hyperparathyroidism consists in subtotal parathyroidectomy or total parathyroidectomy plus autotransplantation of parathyroid tissue.
Methods:
The results obtained with surgical treatment of 6 patients observed in the years 1995-1996 are analyzed. Two glands were hyperplastic in four patients, 3 in the others. Every patient was submitted to a subtotal parathyroidectomy.
Results:
Postoperative course was marked by transient hypoparathyroidism in one case. After 18 months of follow-up, no recurrences were observed.
Conclusions:
It is pointed out that in case of secondary hyperparathyroidism subtotal parathyroidectomy represents the surgical treatment of choice, according with literature data. Otherwise total parathyroidectomy plus autotransplantation, characterized by a more complex surgical technique, lead to the same results.