上皮小体全摘除術および前腕自家移植術の手術手技と問題点について

Abstract

続発性上皮小体機能亢進症20症例に対して, 上皮小体全摘除術および自家移植術を施行した.6症例に再発がみられたが, このうち3症例は局麻下に移植片を摘出し再発に対しての治療が容易であった

Between 1982 and 1990, 20 patients with chronic renal failure underwent total para-thyroidectomies and autotransplantations as treatment for secondary hyperparathyroidism. Fourteen cases were cured of their symptoms and their serum PTH levels was restored to normal. Recurrent hyperparathyroidism developed in 6 cases. In 3 of the 6 cases, excision of parathyroid tissue from the forearm could easily be performed under local anesthesia. Of the other cases, 2 had five and one had six glands. Several localizing methods should be performed before operation, in order to overlook the parathyroid glands in different anatomic positions.