Outcomes After Subtotal Parathyroidectomy for Primary Hyperparathyroidism due to Hyperplasia: Significance of Whole vs. Partial Gland Remnant

Academic Article


  • Introduction: Primary hyperparathyroidism (PHPT) due to multigland hyperplasia is managed by subtotal parathyroidectomy (sPTX), with a partial gland left in situ. However, smaller, hyperplastic glands may be encountered intraoperatively, and it is unclear if leaving an intact gland is an equivalent alternative. This study evaluates the rates of permanent hypoparathyroidism and cure of PHPT patients with four-gland hyperplasia that were left with either a whole gland remnant (WGR) or a partial gland remnant (PGR) after sPTX.
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    Digital Object Identifier (doi)

    Author List

  • Rajaei MH; Oltmann SC; Schneider DF; Sippel RS; Chen H
  • Start Page

  • 966
  • End Page

  • 971
  • Volume

  • 22
  • Issue

  • 3