Minimally Invasive Parathyroidectomy

Vaid, Sachin

doi:10.1001/archsurg.2011.155

Cited by 11 publications

(4 citation statements)

References 17 publications

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“…Our literature search (Fig. 1) identified 3,141 abstracts, of which 82 observational studies and 6 RCTs, published between 1973 and 2014, were included (Table 1) [17–104]. Most of them were conducted in adults who underwent surgery for PHPT using MIP (70 studies, 9643 patients) or BNE (38 studies, 2471 patients).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of Parathyroidectomy in Patients with Primary Hyperparathyroidism: A Systematic Review and Meta‐analysis

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Outcomes of Parathyroidectomy in Patients with Primary Hyperparathyroidism: A Systematic Review and Meta‐analysis

et al. 2016

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“…Furthermore, rapid PTH assay is not available in all hospitals, and when used, is associated with increased operative time and cost [7, 8]. In addition, some published results from centers that do not use IOPTH demonstrate success rates similar to the institutions that routinely use it [9–11]. For instance, it has been previously shown that in patients with two concordant preoperative localization studies, IOPTH adds marginal benefit, or in some studies, results comparable to cases without IOPTH [4, 12, 13].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative PTH May Not Be Necessary in the Management of Primary Hyperparathyroidism Even with Only One Positive or Only Indeterminate Preoperative Localization Studies

et al. 2017

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“…11 12 Several studies have demonstrated that same-day discharge after parathyroidectomy is feasible with low rates of postoperative complications. 3 4 5 6 7 8 10 13 14 15 16 Importantly, these reports acknowledge that accelerated discharge pathways are not appropriate for all patients undergoing parathyroidectomy.…”

Section: Discussionmentioning

confidence: 99%

“… 19 23 24 25 26 Despite knowledge of this condition, it is noteworthy that there remains discordance in practice from different units with regards to postoperative calcium supplementation, with some advocating routine and highly protocolized use, some reporting ad hoc usage dependent on surgeon preference, and others reporting no routine supplementation. 3 4 5 8 13 24 …”

Section: Discussionmentioning

confidence: 99%

Shortening Postoperative Stay after Parathyroidectomy - A District General Hospital Experience

Sinha

Fok

Ahmad

et al. 2019

Int Arch Otorhinolaryngol

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Introduction Historically, concerns about complications following parathyroid surgery, such as airway compromise, bleeding and hypocalcemia, have precluded its consideration as a short-stay surgical procedure. Recent advancements in perioperative care have resulted in several publications demonstrating that parathyroidectomy can be safely performed as a short-stay procedure. Objectives The aim of the present study was to describe the process of implementing a short-stay protocol focusing on preoperative patient education and postoperative calcium management for those undergoing surgery for primary hyperparathyroidism (PHP). Method A retrospective audit of consecutive parathyroidectomies performed for PHP over the period between 2010 and 2013 was performed. A short-stay protocol (SSP) was introduced focusing on postoperative calcium management. Results were reaudited over the period between 2013 and 2015. Results Consecutive parathyroidectomies in 76 patients were included in the study. A total of 42 patients underwent parathyroidectomy prior to the introduction of the protocol. A total of 26.2% of these patients were symptomatic from hypercalcemia. A total of 40 out of 42 (95.2%) patients had a biochemical cure. A total of 36 out of 42 (85.7%) cases were due to parathyroid adenomas. A total of 34 patients underwent surgery following the introduction of the protocol. A total of 13 out of 34 (38.2%) of the patients had symptomatic hypercalcemia. A total of 33 out of 34 (97.1%) had a biochemical cure. A total of 32 out of 34 (94.1%) cases were due to parathyroid adenomas.The length of stay decreased from a median of 3 days (range 2–9 days; mean 3.32) preprotocol to a median of 2 days (range 2–3 days; mean 2.16) postprotocol (p < 0.0001) with no difference in the 30-day unplanned readmission rate (4.8 versus 2.9%; p = 0.999). Conclusions The postoperative length of stay after parathyroidectomy for PHP can be safely reduced through patient education and by rationalizing postoperative calcium management without adversely affecting outcomes.

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Minimally Invasive Parathyroidectomy

Cited by 11 publications

References 17 publications

Outcomes of Parathyroidectomy in Patients with Primary Hyperparathyroidism: A Systematic Review and Meta‐analysis

Outcomes of Parathyroidectomy in Patients with Primary Hyperparathyroidism: A Systematic Review and Meta‐analysis

Intraoperative PTH May Not Be Necessary in the Management of Primary Hyperparathyroidism Even with Only One Positive or Only Indeterminate Preoperative Localization Studies

Shortening Postoperative Stay after Parathyroidectomy - A District General Hospital Experience

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