Beazley R M, Costa J, Ketcham A S
Am J Surg. 1975 Oct;130(4):427-9. doi: 10.1016/0002-9610(75)90477-8.
Reoperative parathyroid surgery is associated with a high mortality and morbidity. Morbidity consists of uncorrected hypercalcemia, hypoparathyroidism, and recurrent nerve injury. Initial operative failure is most frequently a result of not identifying four parathyroid glands. On reoperation, parathyroid glands are most often found in the neck and are usually hyperplastic. It is recommended that before attempting rexploration for parathyroid disease, all the patient's records especially the operative note and the previous pathology material should be reviewed. Preoperative localization by selective venous catheterization is of great use in the management of this type of patient.
再次甲状旁腺手术与高死亡率和高发病率相关。发病率包括未纠正的高钙血症、甲状旁腺功能减退和喉返神经损伤。初次手术失败最常见的原因是未识别出四个甲状旁腺。再次手术时，甲状旁腺最常位于颈部，且通常呈增生性。建议在尝试再次探查甲状旁腺疾病之前，应查阅患者的所有记录，尤其是手术记录和先前的病理材料。选择性静脉插管进行术前定位对这类患者的管理非常有用。
