Rothmund M, Wagner M, Pluntke K
Klinik für Allgemeinchirurgie, Philipps-Universität, Marburg.
Chirurg. 1999 Oct;70(10):1113-22. doi: 10.1007/s001040050872.
Reoperations for persistent or recurrent primary or secondary hyperparathyroidism are demanding tasks mainly when localization of parathyroid tumor(s) was not successful. These procedures may harbor a risk for the patients and therefore need an expert surgeon who is familiar with even the most difficult situation. Important steps before surgery are confirmation of the diagnosis of persistent or recurrent disease and localization of the source of hormone access. Reoperations should be exclusively performed in centers where expert surgeons, radiologists, endocrinologists and nephrologists are available, as well as special technical equipment.
对于持续性或复发性原发性或继发性甲状旁腺功能亢进症进行再次手术是一项艰巨的任务，尤其是在甲状旁腺肿瘤定位不成功的情况下。这些手术可能对患者有风险，因此需要一位熟悉甚至最困难情况的专家外科医生。手术前的重要步骤是确认持续性或复发性疾病的诊断以及激素来源的定位。再次手术应仅在有专家外科医生、放射科医生、内分泌科医生和肾病科医生以及特殊技术设备的中心进行。
