[Current indications and operative strategy for renal hyperparathyroidism]. / Aktuelle Indikation und operative Strategie beim renalen Hyperparathyreoidismus.
Chirurgie (Heidelb)
; 94(7): 602-607, 2023 Jul.
Article
em De
| MEDLINE
| ID: mdl-37140660
ABSTRACT
BACKGROUND:
Renal hyperparathyroidism results from pathophysiologic changes induced and maintained by terminal renal failure. Surgical treatment is possible using various resection strategies. AIM OF THE WORK (RESEARCH QUESTION) The aim of this work is to illustrate the indications, techniques and resection strategies for surgical treatment of renal hyperparathyroidism. MATERIAL ANDMETHODS:
National and international guidelines regarding the surgical treatment of renal hyperparathyroidism were analyzed. Furthermore, our own practical experience was integrated into the article.RESULTS:
While the indications for surgery according to the Surgical Working Group Endocrinology (CAEK) guidelines are given in cases of clinical impairment and renal hyperparathyroidism that cannot be controlled by medication, international guidelines additionally refer to the absolute parathyroid hormone level for deciding for surgery.DISCUSSION:
Individual patient consultation is necessary in the case of renal hyperparathyroidism in order to determine the right time for surgical treatment as well as the most suitable surgical technique, taking into account the individual risk profile and other therapeutic perspectives, including renal transplantation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hiperparatireoidismo Secundário
/
Falência Renal Crônica
Tipo de estudo:
Guideline
/
Qualitative_research
Limite:
Humans
Idioma:
De
Ano de publicação:
2023
Tipo de documento:
Article