Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Subtotal parathyroidectomy for secondary hyperparathyroidism.

M J Zdon, J I Iliopoulos, J H Thomas

    Surgery
    |December 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Energy dependence of moments of net-proton multiplicity distributions at RHIC.

    Physical review letters·2014
    Same author

    Measurement of J/ψ azimuthal anisotropy in Au+Au collisions at sqrt[s(NN)]=200 GeV.

    Physical review letters·2013
    Same author

    Charge separation relative to the reaction plane in Pb-Pb collisions at sqrt[s(NN)] = 2.76 TeV.

    Physical review letters·2013
    Same author

    Directed flow of identified particles in Au+Au collisions at √[SNN]=200  GeV at RHIC.

    Physical review letters·2012
    Same author

    J/ψ polarization in pp collisions at √s=7 TeV.

    Physical review letters·2012
    Same author

    Particle-yield modification in jetlike azimuthal dihadron correlations in Pb-Pb collisions at √s(NN)=2.76 TeV.

    Physical review letters·2012
    Same journal

    Contemporary analysis of early outcomes following robotic cholecystectomy in the United States.

    Surgery·2026
    Same journal

    Comparative outcomes of biologic versus synthetic mesh in inguinal hernia repair: A systematic review and meta-analysis.

    Surgery·2026
    Same journal

    When survival models fail: An interpretable anomaly-detection approach for high-risk phenotypes in resected solid pseudopapillary tumors.

    Surgery·2026
    Same journal

    Familiar but unprepared: Artificial intelligence training needs in graduate medical education.

    Surgery·2026
    Same journal

    One-year health care expenditures and patient out-of-pocket spending after open versus minimally invasive hepatopancreatobiliary surgery.

    Surgery·2026
    Same journal

    Shock index, hypotension, and blood product transfusion as predictors of post-traumatic stress disorder in firearm-related trauma.

    Surgery·2026
    See all related articles

    Subtotal parathyroidectomy (SPTX) effectively treats secondary hyperparathyroidism (HPT) in kidney failure patients. This surgical approach offers comparable outcomes to more complex procedures.

    Area of Science:

    • Nephrology
    • Endocrinology
    • Surgical Oncology

    Background:

    • Secondary hyperparathyroidism (HPT) is a common complication of chronic kidney disease.
    • Treatment options for severe secondary HPT include subtotal parathyroidectomy (SPTX) and total parathyroidectomy with autotransplantation.
    • The relative efficacy of these surgical approaches remains a subject of debate.

    Purpose of the Study:

    • To evaluate the efficacy of subtotal parathyroidectomy (SPTX) in patients with secondary hyperparathyroidism (HPT).
    • To assess SPTX outcomes in the context of contemporary management strategies for chronic kidney disease.

    Main Methods:

    • A retrospective analysis of 14 patients who underwent SPTX for secondary HPT.
    • Evaluation of indications for surgery, duration of renal failure, and preoperative/postoperative serum calcium and parathyroid hormone (PTH) levels.

    Related Experiment Videos

  • Assessment of clinical and radiographic outcomes post-SPTX.

    • Main Results:

    • SPTX was indicated for intractable symptoms, progressive renal osteodystrophy, or both.
    • Mean duration of renal failure was 7.8 years.
    • Postoperative PTH levels significantly decreased from an average of 41 ng/ml to 3.6 ng/ml.
    • 80% of patients experienced clinical or radiographic improvement.
    • No deaths or major postoperative complications were reported.

    Conclusions:

    • Subtotal parathyroidectomy (SPTX) is a simple and effective initial surgical treatment for uremic secondary HPT.
    • SPTX outcomes appear comparable to more complex procedures like total parathyroidectomy with autotransplantation.
    • Further research may explore long-term efficacy and patient-specific factors influencing outcomes.