RT Journal
A1 Norman J
T1 Invited critique: Prospective evaluation of total parathyroidectomy and autotransplantation for the treatment of secondary hyperparathyroidism
JF Archives of Surgery
JO Archives of Surgery
YR 1999
FD January 1
VO 134
IS 1
SP 72
OP 72
DO 10.1001/archsurg.134.1.72
UL http://dx.doi.org/10.1001/archsurg.134.1.72
AB 
Since 1960, the surgical treatment of secondary HPT has evolved from total parathyroidectomy, to subtotal parathyroidectomy, to total parathyroidectomy with autotransplantation of a portion of 1 gland. The reason that all surgeons are not performing the same operation is that it is unclear which of the latter 2 of these operations has superior long-term results. Although most surgeons have abandoned total parathyroidectomy, numerous reports describe relatively equal short- and long-term clinical success rates for subtotal parathyroidectomy and total parathyroidectomy with autotransplantation (the latter is supported nicely in the article by Zaraca et al).