{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:50:59Z","timestamp":1782744659339,"version":"3.54.5"},"reference-count":0,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2002,1,1]],"date-time":"2002-01-01T00:00:00Z","timestamp":1009843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2002,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reoperation for secondary hyperparathyroidism (HPT) due to uremia (2HPT) may be required among patients with persistent renal failure if not all parathyroid glands are removed at the initial operation. Between March 1981 and July 2001,\naltogether 1110 patients underwent total parathyroidectomy with forearm autograft for advanced 2HPT in our department. In this study, we evaluated the clinical features of patients who required reoperation and classified them into persistent HPT [the lowest intact parathyroid\n(PTH) level after initial operation remained higher than 60 pg\/ml] and recurrent HPT (the lowest intact PTH level was normalized after surgery but reelevated became high enough to require reoperation). Removal of residual glands was indicated in 30 (2.7%) cases for persistent or recurrent HPT. All remaining glands were detected by preoperative imaging diagnoses. In 44 (4.0%) patients persistent HPT was recognized and in 15 of them (1.4% of all cases) reoperation was required. In 11\ncases, the responsible glands were supernumerary ones removed from the mediastinum. In 4 cases, the glands were resected from the neck. In 15\ncases (1.4%), reoperation was performed for recurrent HPT when residual glands were left either in the neck or in the thymic tongue.\nIn all but one case, the missed glands were supernumerary. This study reveals that it is often difficult to avoid persistent HPT induced by mediastinal supernumerary glands and recurrent HPT caused by small glands left in the neck. Our findings indicate that patients with uremia should be closely followed considering the possibility that persistent or recurrent HPT may occur after parathyroidectomy.\n<\/jats:p>","DOI":"10.1007\/s00268-002-6731-8","type":"journal-article","created":{"date-parts":[[2002,10,14]],"date-time":"2002-10-14T16:56:05Z","timestamp":1034614565000},"page":"1301-1307","source":"Crossref","is-referenced-by-count":35,"title":["Reoperation for Renal Hyperparathyroidism"],"prefix":"10.1002","volume":"26","author":[{"given":"Yatsuka","family":"Hibi","sequence":"first","affiliation":[{"name":"Department of Surgery II, Nagoya University Hospital, Japan School of Medicine 65 Tsurumai\u2010cho Showa\u2010ku Nagoya 466\u20108550 JAPAN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Tominaga","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery Nagoya Second Red Cross Hospital 2\u20109\u00a0Myoken\u2010cho Showa\u2010ku Japan Nagoya 466\u20108650<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuhiko","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery Nagoya Second Red Cross Hospital 2\u20109\u00a0Myoken\u2010cho Showa\u2010ku Japan Nagoya 466\u20108650<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Katayama","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery Nagoya Second Red Cross Hospital 2\u20109\u00a0Myoken\u2010cho Showa\u2010ku Japan Nagoya 466\u20108650<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihito","family":"Haba","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery Nagoya Second Red Cross Hospital 2\u20109\u00a0Myoken\u2010cho Showa\u2010ku Japan Nagoya 466\u20108650<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuharu","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery Nagoya Second Red Cross Hospital 2\u20109\u00a0Myoken\u2010cho Showa\u2010ku Japan Nagoya 466\u20108650<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiro","family":"Ichimori","sequence":"additional","affiliation":[{"name":"Department of Surgery Tokushima Red Cross Hospital 28\u20101 Shinbiraki, Nakata\u2010cho Komatsujima Japan Tokushima 773\u20108502<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Numano","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, 721 Sugitani, Japan Kakegawa Municipal General Hospital Kakegawa 436\u20108502 JAPAN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgery I Aichi Medical University Hospital, Japan School of Medicine 21 Aza\u2010Karimata Oaza\u2010Yazako Nagakute\u2010cho Aichi 480\u201011 JAPAN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Surgery JR Tokai General Hospital 1\u201019\u201040 Taiko Nakamura\u2010ku Japan Nagoya 453\u20100801<!--<country1>JAPAN<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuneo","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University Hospital, Japan School of Medicine 65 Tsurumai\u2010cho Showa\u2010ku Nagoya 466\u20108550 JAPAN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroomi","family":"Funahashi","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University Hospital, Japan School of Medicine 65 Tsurumai\u2010cho Showa\u2010ku Nagoya 466\u20108550 JAPAN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akimasa","family":"Nakao","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University Hospital, Japan School of Medicine 65 Tsurumai\u2010cho Showa\u2010ku Nagoya 466\u20108550 JAPAN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,1]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-002-6731-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-002-6731-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-002-6731-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T19:51:45Z","timestamp":1705002705000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-002-6731-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2002,10]]}},"alternative-id":["10.1007\/s00268-002-6731-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-002-6731-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}