Total parathyroidectomy and autotransplantation by the subcutaneous injection technique in secondary hyperparathyroidism

Jong Ho Yoon, Kee Hyun Nam, Hang Seok Chang, Woong Youn Chung, Cheong Soo Park

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose. To prospectively assess the effectiveness of total parathyroidectomy and autotransplantation using a subcutaneous injection technique to treat secondary hyperparathyroidism. Methods. We used this method to treat 14 patients with secondary hyperparathyroidism. The short-term outcome, up to 16 months after surgery, was monitored by measuring calcium, inorganic phosphorus, intact parathyroid hormone (iPTH), and alkaline phosphatase levels. We considered a graft viable when the ratio of iPHT in antecubital venous blood from the grafted arm to that from the nongrafted arm exceeded 1.5. Results. Autografted parathyroid tissue was functional in 12 (85.7%) patients. An iPTH ratio ≥1.5 in the grafted arm relative to the nongrafted arm was observed from 2 weeks after surgery, peaking at 1 month. The grafted tissue continued to be biochemically functional 16 months after surgery in 12 patients. Conclusion. These findings suggest that total parathyroidectomy and forearm autotransplantation using the subcutaneous injection technique is a possible alternative to Wells' method for surgical treatment of secondary hyperparathyroidism.

Original languageEnglish
Pages (from-to)304-307
Number of pages4
JournalSurgery Today
Volume36
Issue number4
DOIs
Publication statusPublished - 2006 Apr 1

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Parathyroidectomy
Secondary Hyperparathyroidism
Autologous Transplantation
Subcutaneous Injections
Arm
Parathyroid Hormone
Forearm
Phosphorus
Alkaline Phosphatase
Calcium
Transplants
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Yoon, Jong Ho ; Nam, Kee Hyun ; Chang, Hang Seok ; Chung, Woong Youn ; Park, Cheong Soo. / Total parathyroidectomy and autotransplantation by the subcutaneous injection technique in secondary hyperparathyroidism. In: Surgery Today. 2006 ; Vol. 36, No. 4. pp. 304-307.
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Total parathyroidectomy and autotransplantation by the subcutaneous injection technique in secondary hyperparathyroidism. / Yoon, Jong Ho; Nam, Kee Hyun; Chang, Hang Seok; Chung, Woong Youn; Park, Cheong Soo.

In: Surgery Today, Vol. 36, No. 4, 01.04.2006, p. 304-307.

Research output: Contribution to journalArticle

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