Abstract: 【Abstract】With the development of dialysis technology, the incidence of secondary hyperparathyroidism (SHPT) increases significantly due to the longer survival of chronic kidney disease (CKD) patients. SHPT symptoms including skin itching, skeletal deformities and ectopic calcifications in cardiovascular system often severely hurt the quality of life in CKD patients. The main therapy for SHPT is medicine. However, medical treatment may be ineffective for some intractable SHPT patients, leading to relapse of the symptoms and higher medical expenses. Therefore, surgical treatment is necessary in some cases ineffective to drug treatment. The guidelines for chronic kidney disease-mineral and bone disorder (CKD-MBD) propose performing parathyroidectomy (PTX) for these SHPT patients. In this paper we reviewed the recent advances in surgical treatment of SHPT.

Key words: Chronic kidney disease, Secondary hyperparathyroidism, Parathyroidectomy