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Subtotal parathyroidectomy for primary hyperparathyroidism. Long-term results in 292 patients.
- Source :
-
Archives of surgery (Chicago, Ill. : 1960) [Arch Surg] 1983 Apr; Vol. 118 (4), pp. 425-31. - Publication Year :
- 1983
-
Abstract
- Subtotal parathyroidectomy was performed in a consecutive series of 292 patients with primary hyperparathyroidism. We evaluated the long-term postoperative results during a period of 16 years. Patients ranged in age from 14 to 83 years and included 176 women and 116 men. Of these, 16% had a history of exposure to radiation in childhood or adolescence, while thyroid disease requiring some form of thyroidectomy coexisted in 91 (31%) of the patients. Histologic information on three or more parathyroid glands was obtained in 73% of the cases. We considered 285 patients (97.6%) cured after their first operation. The remaining seven patients (2.4%) had persistent hyperparathyroidism. However, five were cured after a sternum-splitting mediastinal exploration and one after a second neck exploration. The seventh remains hypercalcemic despite a subsequent mediastinal exploration. Temporary postoperative hypoparathyroidism occurred in 10% of our cases and permanent hypoparathyroidism in 1%. There have been no instances of recurrent hyperparathyroidism.
- Subjects :
- Adenocarcinoma complications
Adenocarcinoma surgery
Adenoma complications
Adenoma surgery
Adolescent
Adult
Aged
Carcinoma complications
Carcinoma surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Parathyroid Glands pathology
Parathyroid Glands radiation effects
Thyroid Neoplasms complications
Thyroid Neoplasms surgery
Thyroidectomy
Thyroiditis complications
Thyroiditis surgery
Hyperparathyroidism surgery
Parathyroid Glands surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0004-0010
- Volume :
- 118
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Archives of surgery (Chicago, Ill. : 1960)
- Publication Type :
- Academic Journal
- Accession number :
- 6338863
- Full Text :
- https://doi.org/10.1001/archsurg.1983.01390040037008