Klempa I
Langenbecks Arch Chir. 1977 Dec 14;344(3):171-8. doi: 10.1007/BF01254071.
Subtotal Parathyreoidectomy offers no problem after surgery, nor after Kidney transplantation. But a recurrence needs extensive investigations for localisation of recurrent hyperplastic glands. The necessary reoperation is loaded with difficulties. After total Parathyreoidectomy hypocalcaemia is a severe complication. Therefore in patients awaiting Kidney transplants in a chronic dialysis program the procedure is not opportune. In 11 patients following total Parathyreoidectomy and autoplastic parathyreoid transplant, we found nearly normal parathyreoid hormone plasma levels. The advantage of this method is: The function of the autoplastic graft is testable and a possible recurrence is easily resectable.
次全甲状旁腺切除术在术后以及肾移植后均无问题。但复发时需要进行广泛检查以定位复发的增生性腺体。必要的再次手术困难重重。全甲状旁腺切除术后低钙血症是一种严重并发症。因此，对于正在接受慢性透析治疗且等待肾移植的患者，该手术并不适宜。在11例行全甲状旁腺切除及自体甲状旁腺移植的患者中，我们发现血浆甲状旁腺激素水平接近正常。该方法的优点是：自体移植的功能可检测，且可能的复发易于切除。
