RT Journal
A1 Kaaden S, Emmanouilidis N, Beckmann JH, et al
T1 EFfect of incomplete parathyroidectomy preserving entire parathyroid glands on renal graft function
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD June 1
VO 146
IS 6
SP 704
OP 710
DO 10.1001/archsurg.2011.138
UL http://dx.doi.org/10.1001/archsurg.2011.138
AB 
Tertiary hyperparathyroidism (tHPT) is present in up to 17% of renal transplant recipients.1 Most clinicians consider tHPT with hypercalcemia to be the main indication for parathyroidectomy (PT) after renal transplant.2 The prevalence of posttransplant PT reported recently3- 8 ranges from 0.9% to 5.6%. The success of the surgical procedure is determined by permanent absence of hypercalcemia and HPT after the intervention. To achieve this goal, reported5- 6,9- 11 strategies range from complete PT without autotransplantation of parathyroid tissue to incomplete PT with preservation of 3 normal-sized parathyroid glands (PGs). In most of these studies, it was assumed that an amount of parathyroid tissue equivalent to approximately 2 normal-sized PGs should be retained in patients who have undergone renal transplant.2,11