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Risk and predictors of severe hyperkalemia after total parathyroidectomy without auto-transplantation in patients with secondary hyperparathyroidism.
Front Endocrinol (Lausanne)
November 2024
Department of Hepatobiliary and Thyroid Surgery, General Hospital of Northern Theater Command, Shenyang, China.
Objective: To identify the risk factors of postoperative severe hyperkalemia after total parathyroidectomy (TPTX) without auto-transplantation in patients with secondary hyperparathyroidism (SHPT).
Methods: Data on 406 consecutive patients who underwent TPTX without auto-transplantation for secondary hyperparathyroidism at the General Hospital of Northern Theater Command between January 2013 and January 2023, were prospectively collected. Then, patients were divided into the training set (n=203) and the validation set (n=203) in a ratio of 1:1 by timeline.
[The retrospective clinical study of asymptomatic primary hyperparathyroidism].
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
October 2024
Sennior Department of Otolaryngology Head and Neck Surgery, the Sixth Medical Center of PLA General Hospital, Beijing 100048, China.
To summarize and analyze the diagnostic and therapeutic characteristics of asymptomatic primary hyperparathyroidism (aPHPT). A retrospective analysis was conducted on the clinical data of 103 patients with aPHPT admitted to the Chinese PLA General Hospital from January 2012 to September 2023. The clinical characteristics, treatment modes, and prognoses of the patients were analyzed.
View Article and Find Full Text PDFConstruction and validation of a risk prediction model for early hungry bone syndrome in maintenance hemodialysis patients post-parathyroidectomy.
Zhong Nan Da Xue Xue Bao Yi Xue Ban
May 2024
Department of Nephrology, Third Xiangya Hospital, Central South University, Changsha 410013.
Objectives: Parathyroidectomy (PTX) is an effective treatment for refractory secondary hyperparathyroidism (SHPT), but it can lead to hungry bone syndrome (HBS), significantly threatening the health of maintenance haemodialysis (MHD) patients. While previous studies have analyzed the risk factors for HBS post-PTX, the predictive performance and clinical applicability of these risk models need further validation. This study aims to construct and validate a risk prediction model for HBS in MHD patients with SHPT post-PTX.
View Article and Find Full Text PDF[Endoscopic assisted parathyroid surgery via a subclavian approach].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
August 2024
To explore the safety and efficacy of airless endoscopic surgery in the treatment of parathyroid diseases. By retrospective comparison, clinical treatment of 26 patients with primary hyperparathyroidism admitted to the Department of Otolaryngology and Head and Neck Surgery of the Hospital, Sun Yat-sen University from January 2018 to January 2023 were collected. They were divided into traditional group（13 cases） and endoscopic group（13 cases） according to the surgical method.
View Article and Find Full Text PDFComparison of intraoperative imaging with a portable gamma camera with extemporaneous histology in minimally invasive surgery for primary hyperparathyroidism.
Rev Esp Med Nucl Imagen Mol (Engl Ed)
September 2024
Servicio de Medicina Nuclear, Hospital Universitario Dr. Peset, Valencia, Spain.
Introduction: The curative treatment of primary hyperparathyroidism (PPH) is surgical and today it can be performed by minimally invasive surgery (MIS) and also be radioguided (RG) if a radiopharmaceutical with affinity for the parathyroid tissue that can be detected with gamma-detector probes or with a portable gamma camera (PGC) is injected.
Aim: The objective is to assess whether intraoperative scintigraphy (GGio) with PGC can replace intraoperative pathological anatomy (APio) to determine if the removed specimen is an abnormal parathyroid.
Material And Method: 92 patients underwent CMI RG--HPP with PGC after the administration of a dose of 99 mTc-MIBI.
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