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Can parathyroidectomy for primary hyperparathyroidism be carried out as a day-case procedure?

Published online by Cambridge University Press:  24 July 2006

E R M Carr ,
K Contractor ,
D Remedios  and
M Burke
E R M Carr
Affiliation:
Department of Endocrine Surgery, Northwick Park Hospital, Harrow, UK
K Contractor
Affiliation:
Department of Endocrine Surgery, Northwick Park Hospital, Harrow, UK
D Remedios
Affiliation:
Department of Endocrine Surgery, Northwick Park Hospital, Harrow, UK
M Burke
Affiliation:
Department of Endocrine Surgery, Northwick Park Hospital, Harrow, UK
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Abstract

Introduction: Surgery for primary hyperparathyroidism has traditionally involved a bilateral neck exploration performed as an in-patient procedure. We present a feasibility study to demonstrate whether, with a focused surgical exploration, the procedure can be carried out as a day case.

Method: Eighty-seven patients had pre-operative sestamibi and ultrasound scans of the neck. When the results of these scans agreed, a unilateral neck exploration was carried out.

Results: Sixty-seven patients received a focused approach parathyroidectomy. Ninety-seven per cent of these patients were normocalcaemic after the first operation. All patients who fitted the day-case criteria left hospital the following morning.

Discussion: When pre-operative imaging results agree, a parathyroidectomy can be carried out using a unilateral neck exploration, avoiding the increased risks associated with a bilateral exploration.

Conclusion: Parathyroidectomy can be safely carried out as a day-case procedure in selected patients.

Keywords

ParathyroidectomyAmbulatory Surgical ProceduresRadionucleotide ImagingTechnetiumUltrasonography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 11 , November 2006 , pp. 939 - 941
Copyright
2006 JLO (1984) Limited

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