scholarly journals Is bilateral exploration still the standard of care for primary hyperparathyroidism?: Outcomes of focused radio-guided parathyroidectomy and bilateral explorations

2013 ◽  
Vol 123 (11) ◽  
pp. 2587-2588 ◽  
Author(s):  
Zachary J. Cappello ◽  
Jeffrey M. Bumpous
Keyword(s):  
Primary Hyperparathyroidism ◽  
Standard Of Care ◽  
Bilateral Exploration

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

2006 ◽  
Vol 120 (11) ◽  
pp. 939-941 ◽  
Author(s):  
E R M Carr ◽  
K Contractor ◽  
D Remedios ◽  
M Burke
Keyword(s):  
Primary Hyperparathyroidism ◽  
Feasibility Study ◽  
Bilateral Neck Exploration ◽  
Neck Exploration ◽  
Day Case ◽  
Surgical Exploration ◽  
Bilateral Exploration ◽  
Imaging Results ◽  
Unilateral Neck Exploration

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.

231: Laparoscopic Nephrectomy: Prolonged Diffusion of a Standard of Care

2006 ◽  
Vol 175 (4S) ◽  
pp. 77-77
Author(s):  
David C. Miller ◽  
John T. Wei ◽  
Brent K. Hollenbeck
Keyword(s):  
Standard Of Care ◽  
Laparoscopic Nephrectomy

26: Cost Trends for Oncologic Renal Surgery: Support for a Laparoscopic Standard of Care

2005 ◽  
Vol 173 (4S) ◽  
pp. 8-8
Author(s):  
John M. Hollingsworth ◽  
David C. Miller ◽  
J. Stuart Wolf
Keyword(s):  
Standard Of Care ◽  
Renal Surgery

Primary Hyperparathyroidism

2005 ◽  
Vol 38 (23) ◽  
pp. 19
Author(s):  
WILLIAM E. GOLDEN ◽  
ROBERT H. HOPKINS
Keyword(s):  
Primary Hyperparathyroidism
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