Focused parathyroidectomy without intra-operative parathyroid hormone monitoring for XXXX : results in a low-volume hospital.

@entity1 @entity459 @entity3746 @entity652 @entity2742
BACKGROUND: The role of routine intra-operative parathyroid hormone monitoring for sporadic @entity459 is contentious. Satisfactory results can be achieved in high-volume centres. The results of low-volume hospitals are rarely studied. METHODS: A retrospective, non-comparative study was conducted. From November 2002 to October 2012, 105 @entity1 with clinically sporadic @entity459 underwent focused parathyroidectomy without intra-operative parathyroid hormone monitoring. Single @entity652 was localised on pre-operative ultrasonography or sestamibi scan. The cure rate, surgical complication rate and pathology findings were evaluated. RESULTS: Most of the operations (63.8 per cent) were performed under local anaesthesia. All but two @entity1 (98.1 per cent) were cured after surgery. There was only one case of double @entity652 . No recurrent @entity2742 was observed after a mean follow up of 56.9 months. Surgical complications comprised two cases (1.9 per cent) of transient @entity3746 and one case (1.0 per cent) of permanent @entity3746 . Seven @entity1 (6.7 per cent) suffered temporary hypocalcaemia. CONCLUSION: Satisfactory results of focused parathyroidectomy without routine intra-operative parathyroid hormone monitoring for appropriately selected @entity459 cases can be attained in a low-volume hospital.
