Skip to main content


Weitere Artikel dieser Ausgabe durch Wischen aufrufen

03.09.2019 | original article | Ausgabe 2/2020

European Surgery 2/2020

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

European Surgery > Ausgabe 2/2020
Hany Maurice Mikhail, Ahmed Amr Mohsen, M.D., FRCSEd Professor Amr Abdallah Mohsen
Wichtige Hinweise

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.



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.


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.


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.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:

Abo für kostenpflichtige Inhalte

Über diesen Artikel

Weitere Artikel der Ausgabe 2/2020

European Surgery 2/2020 Zur Ausgabe