Surgical Treatment of Secondary Hyperparathyroidism due to Chronic Kidney Disease

Abstract

It is a great honour for me to have this opportunity to present a review about surgical treatment of secondary hyperparathyroidism (2HPT) due to chronic kidney disease (CKD). Uppsala is a historical place concerning the parathyroid gland, because it was here that Ivar Sandström in 1877 initially discovered the small organs, Glandulae Parathyroideae, existing around the thyroid gland in human beings. This finding led to intensive studies of the parathyroid glands, focusing on their histopathology, pathophysiology, clinical diagnosis, and medical and surgical treatment (1) and investigations are still continuing in Uppsala today. I had the privilege to stay in Uppsala during 1989 to study the surgery and pathology of parathyroid glands and it was a pleasure to share clinical and basic research about these small and charming organs with my colleagues in Uppsala.