Ambulatory surgery for primary hyperparathyroidism: A 67-case series.

Area of Science:

• Endocrine Surgery
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Primary hyperparathyroidism surgery is theoretically suited for ambulatory procedures.
• Preoperative imaging (ultrasound, scintigraphy) guides targeted parathyroidectomy.
• Validation of ambulatory surgery for primary hyperparathyroidism is essential.

Purpose of the Study:

• To validate the strategy of ambulatory surgery for primary hyperparathyroidism.
• To assess the feasibility and outcomes of ambulatory parathyroidectomy in a selected patient cohort.
• To confirm the efficacy of ultrasound and scintigraphy in guiding targeted surgery.

Main Methods:

• Retrospective study of patients undergoing ambulatory surgery for primary hyperparathyroidism (01/01/13–30/04/15).
• Inclusion criteria: patients operated for primary hyperparathyroidism via ambulatory surgery.
• Evaluation of standard ambulatory surgery endpoints.

Main Results:

• 67 out of 144 patients were eligible for ambulatory surgery, all with preoperative parathyroid adenoma diagnosis.
• Ultrasound and sestamibi scintigraphy guided unilateral neck surgery in 98.5% of cases.
• Only two patients required overnight hospitalization due to minor complications.

Conclusions:

• Ambulatory surgery for primary hyperparathyroidism is feasible in carefully selected patients.
• Imaging-guided parathyroidectomy enables targeted, minimally invasive procedures.
• Short operating times and low complication rates support the use of ambulatory surgery.