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Is day surgery for minimally‐invasive parathyroidectomy a feasible option?
Author(s) -
Tai Dora KaiChun,
Chick WaiKeung
Publication year - 2019
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12350
Subject(s) - medicine , surgery , parathyroidectomy , concomitant , hypocalcaemia , primary hyperparathyroidism , parathyroid hormone , calcium
Aim The aim of the present study was to explore the safety of day surgery for minimally‐invasive parathyroidectomy (MIP) in the treatment of primary hyperparathyroidism (PHPT).Patients and Methods The records of all patients who underwent minimally‐invasive parathyroidectomies for PHPT from January 2001 to December 2017 at our centre were reviewed. Patients who underwent bilateral neck exploration, reoperation and concomitant procedures, such as hemithyroidectomy, were excluded. Patients were placed into two groups: group 1 included day surgery cases, and group 2 included patients who were admitted 1 day before the operation and discharged > 1 day after the operation. Patient demographics and clinical outcomes were compared between the two groups. Results Overall, 194 patients were included: 42 in group 1 and 152 in group 2. There was no statistically‐significant difference between the mean age ( P = 0.094), percentage of female patients ( P = 0.072), American Society of Anesthesiologists score ( P = 0.659) and preoperative and postoperative blood calcium level ( P = 0.252 and P = 0.097, respectively) between the two groups. There was also no statistically‐significant difference between the two groups in terms of outcomes, such as bleeding/haematoma ( P = 0.598), wound infection ( P = 0.328), recurrent laryngeal nerve injury ( P = 0.234), postoperative hypocalcaemia ( P = 0.082), recurrent/persistent disease ( P = 0.328), revisit to the Accident and Emergency Department within 30 days of discharge ( P = 0.446), unplanned readmission ( P = 0.359) and death ( P = 0.598). Conclusions Overall, we believe that our data indicate that day surgery is a feasible and safe option for patients undergoing MIP for PHPT.