台灣外科醫學會雜誌

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	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
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	第58卷第1期 2025-1 Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols
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	第58卷第1期 2025-1 Incidental autopsy finding of retiform hemangioendothelioma of the spleen
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	第58卷第1期 2025-1 Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series
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	第58卷第1期 2025-1 Case reports of type 1 cystic biliary atresia—A rare variant of biliary atresia alongwith reviewof literature
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	第58卷第1期 2025-1 The predictors of intraoperative surgical expenses in liver resection for hepatocellular carcinoma
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	第58卷第1期 2025-1 Intracorporeal anastomosis versus extracorporeal anastomosis following laparoscopic right hemicolectomy: Surgical outcomes of a single-center observational study
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	第58卷第1期 2025-1 Quality of life and spiritual health in motorcycle accident survivors: An analysis using the SF-36 Questionnaire and Spiritual Scale
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	第58卷第1期 2025-1 Plastin 3 expression in circulating tumor cells as a predictor of cancer status in patients with prostate cancer
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	第57卷第6期 2024-11 Emerging robot-guided techniques in endodontic microsurgery
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	第57卷第6期 2024-11 Management of subcapsular hematoma after living donor liver transplant
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	第57卷第6期 2024-11 Urethral pseudodiverticulum with left-sided nonfunctioning kidney: Case report
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	第57卷第6期 2024-11 Strategy to minimize surgical defect of dermatofi brosarcoma protuberans
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	第57卷第6期 2024-11 Rapunzel syndrome—An uncommon disease with varied common presentations
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	第57卷第6期 2024-11 Minimally invasive approaches to management of acute necrotizing pancreatitis
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	第57卷第6期 2024-11 Innovative surgical technique: Addressing ethical concerns
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	第57卷第6期 2024-11 Emergency surgery and HIV screening, clinical or universal scenarios?
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篇名	Surgery of Renal Secondary Hyperparathyroidism
作者	Fong-Fu Chou
卷期/出版年月	42卷4期 (2009/8)
頁次	205-208
摘要	hyperparathyroidism (2nd HPT) is noted due to hyperphosphatemia, a deficit of calcitriol synthesis and hypocalcemia. Symptoms of bone pain, skin itching, general weakness and insomnia with high IPTH levels (> 650 pg/ml), hypercalcemia (> 10.1 mg/ml) and hyperphosphatemia (> 4.6 mg/dl) are indications for surgery. Total parathyroidectomy or subtotal parathyridectomy is a cost effective procedure to treat symptomatic 2nd HPT. Total parathryoidectomy plus subcutaneous autotransplantation is an easy method to perform and it can avoid long-life hypoparathyroidism, which total parathyroidectomy without autotransplantaion cannot. It is also easy to find and remove the parathyroid tissue if recurrent hyperparathyroidism at the transplantation site is found.
關鍵詞	secondary hyperparathyroidism, mechanism, total parathyroidectomy plus subcutaneous autotransplantation
分類	Mini Review