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PubMed · 3815869

A systematic approach to parathyroid surgery.

J E Blacker·L A Hoover·L Zuckerbraun·A S Brickman
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Abstract

In the last 8 years 33 patients with hyperparathyroidism have been surgically treated by the authors. Thirty patients had primary, 2 secondary and 1 tertiary hyperparathyroidism. In the 30 patients with the primary disorder, 26 had a single adenoma and 28 of these patients had normal calcium levels postoperatively. Two patients were hypocalcaemic following surgery and required calcium supplements for 3 months and 9 months respectively. It is recommended that when a single adenoma is found its removal will render the patient normocalcaemic. When all 4 glands are hyperplastic the surgery should be subtotal (3 1/2 glands) parathyroidectomy except in the case of secondary hyperparathyroidism when total parathyroidectomy with autotransplantation and cryopreservation of the remainder should be performed.

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AdenomaAdultAgedAged, 80 and overCalciumFemaleHumansHyperparathyroidismKidney DiseasesMaleMiddle AgedParathyroid NeoplasmsJournal Article

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BibTeXRIS

J E Blacker, L A Hoover, L Zuckerbraun, A S Brickman. 1986. A systematic approach to parathyroid surgery.. https://doi.org/10.1111/j.1365-2273.1986.tb00148.x

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