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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Surgical treatment of primary hyperparathyroidism

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  • K Brasso
  • S Karstrup
  • C M Lundby
  • L O Kristensen
  • H H Holm
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One hundred and two patients with primary hyperparathyroidism underwent a total of 108 bilateral neck explorations with attempted identification and biopsy of all four glands. Hypercalcaemia was surgically eliminated in 97 of 102 patients (95%). Of the remaining hypercalcaemic patients one was cured by percutaneous ethanol injection and one was reoperated and cured in another hospital. Three patients with persistent hypercalcaemia refused reoperation. Transitory hypocalcaemia with a median duration of 15 days was found in 36 patients, and permanent hypocalcaemia in two patients (1.9%). Permanent paralysis of the recurrent nerve occurred in three patients (2.9%). Twenty-one patients developed other postoperative complications from which they all recovered without sequelae. No postoperative deaths occurred. Our results show that surgical treatment of primary hyperparathyroidism--including bilateral neck exploration and attempted biopsies of all parathyroid glands--is safe with a high cure rate.
OriginalsprogEngelsk
TidsskriftDanish Medical Bulletin (Online)
Vol/bind41
Udgave nummer5
Sider (fra-til)585-8
Antal sider4
ISSN1603-9629
StatusUdgivet - nov. 1994

ID: 38958406