Article Recommendations Abstract Background. In spite of improved medical therapy, parathyroidectomy is still frequentely indicated for patients with medically refractory secondary and tertiary hyperparathyroidism. The aim of this study is to analyse the impact of parathyroidectomy, regardless of the surgical procedure, on perioperative and follow-up clinical symptoms and biochemistry tests.
Material and method. Outcome parameters included symptoms relieving bone pains, pruritus, etc and laboratory data intact parathyroid hormone iPthtotal calcium and phosphorus, serum alkaline phosphatase AlkPhoshematocrit and hemoglobinassesed before, shortly after and then at short-medium term follow-up. The majority of our patients had significant improvement of the symptoms during the follow-up period.
The iPTH values considerably decreased after the operation. The postoperative calcemia mean value decreased and we have identified statistically significant differences between the monthly calcemia average values p The mean phosphorus level in the first 2 postoperative months papillary thyroid cancer treatment algorithm significantly p Both hematocit and hemoglobin levels experienced a statistical significant growth in the follow-up period.
Persistent HPT was encountered in two patients 6. We had few minor and transient postoperative complications and we did not encountered postoperative mortality in our series. Parathyroidectomy, regardless of the technical procedure, is feasible, safe and effective for patients with refractory secondary and tertiary papillary thyroid cancer treatment algorithm. Keywords: hyperparathyroidism ; parathyroidectomy ; clinical and biochemical follow-up ; hiperparatiroidism ; paratiroidectomie ; urmărire postoperatorie If the inline PDF is not rendering correctly, you can download the PDF file here.
Secondary and tertiary hyperparathyroidism state of the art surgical management.
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