Ambulatory surgery for primary hyperparathyroidism: A 67-case series.
BACKGROUND
Surgery for primary hyperparathyroidism, targeted by ultrasound and scintigraphy, satisfies the theoretical criteria allowing ambulatory surgery. The purpose of this study was to validate this strategy on a homogeneous case series assessed by this imaging strategy.


METHODS
All patients operated for primary hyperparathyroidism by ambulatory surgery from 01/01/13 to 30/04/15 were included in this retrospective study. The usual endpoints of ambulatory surgery were evaluated.


RESULTS
A total of 144 patients were operated for primary hyperparathyroidism during the study period. Ambulatory surgery was possible in 67 patients, who all had a preoperative diagnosis of parathyroid adenoma. All patients were assessed by ultrasound and 66 patients were assessed by sestamibi scintigraphy, resulting in targeted unilateral neck surgery in 98.5% of cases. Two patients had to be hospitalised overnight due to minor complications.


CONCLUSIONS
Surgery for primary hyperparathyroidism can be performed with short operating times in carefully selected patients with a low complication rate, thereby allowing ambulatory surgery.
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France. Electronic address: culiedorian@gmail.com.
D
D
Culié
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France.
B
B
Pescetto
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France; Centre Antoine Lacassagne, 33 Avenue de Valombrose, 06100 Nice, France.
O
O
Dassonville
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France.
N
N
Guevara
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France; Centre Antoine Lacassagne, 33 Avenue de Valombrose, 06100 Nice, France.
D
D
Benisvy
Institut universitaire de la face et du cou, 31 Avenue de Valombrose, 06103 Nice, France.
J
J
Santini
D000236:Adenoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D005240:Feasibility Studies; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods; D011877:Radionuclide Imaging / Q000379:methods; D019275:Radiopharmaceuticals; D015203:Reproducibility of Results; D012189:Retrospective Studies; D000072098:Single Photon Emission Computed Tomography Computed Tomography / Q000379:methods; D014463:Ultrasonography
D019275:Radiopharmaceuticals
Ambulatory surgery; Day care surgery; Parathyroid adenoma; Primary hyperparathyroidism; SPECT-CT; Scintigraphy; Ultrasound