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Erschienen in: European Surgery 2/2020

03.09.2019 | original article

Relationship of preoperative serum calcium and extent of neck surgery to postoperative hospital stay in patients with primary hyperparathyroidism and severe bone disease. A case series

verfasst von: Hany Maurice Mikhail, Ahmed Amr Mohsen, M.D., FRCSEd Professor Amr Abdallah Mohsen

Erschienen in: European Surgery | Ausgabe 2/2020

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Summary

Introduction

After parathyroidectomy for patients with severe osteoporosis, hospital stay is likely to be prolonged because of rebound severe hypocalcemia. There is currently no method that predicts the occurrence of such an adverse effect. This study aimed to investigate preoperative serum calcium level and extent of neck surgery as predictors of the length of postoperative hospitalization.

Patients and methods

Fifty-five patients with primary hyperparathyroidism and severe bone disease had parathyroidectomies, 27 by a conventional bilateral exploration and 28 by focused unilateral surgery. The duration of postoperative hospitalization was tested for correlation to preoperative total serum calcium and to the extent of neck surgery.

Results

The median postoperative hospital stay was five days. After conventional exploration it was eight days, and after focused parathyroidectomy it was three days, a highly significant difference. Preoperative total calcium had an insignificant weak positive correlation with hospital stay.

Conclusion

For primary hyperparathyroidism with severe bone disease, focused unilateral parathyroidectomy is likely to reduce the duration of postoperative hospital stay. Preoperative total serum calcium is not a reliable predictor of hospital stay in this subset of patients.
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Metadaten
Titel
Relationship of preoperative serum calcium and extent of neck surgery to postoperative hospital stay in patients with primary hyperparathyroidism and severe bone disease. A case series
verfasst von
Hany Maurice Mikhail
Ahmed Amr Mohsen
M.D., FRCSEd Professor Amr Abdallah Mohsen
Publikationsdatum
03.09.2019
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 2/2020
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-019-00608-0