Hyperparathyroidism and ambulatory surgery
BONNICHON P
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BERGER JP
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BONNI N
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PION GRAFF J
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LUMBROSO A
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BOSQ F
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GIGANDON A
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NORDLINGER D
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DELBOT T
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RICHARD B
Seance of wednesday 14 march 2012 (CHIRURGIE AMBULATOIRE)
Abstract
Many publications report the usefulness and the outcome of the mini-invasive surgery for hyperparathyroidism but few studies develop the interest of the ambulatory surgery. However, societies such as the French society of digestive surgery and the French society of hepatobiliary surgery and transplants are interested in the question, in terms of public health, and have published recommendations of good practices. During 2011, 120 patients of 126 operated were the purpose of this study. An echo-scintigraphy pre-operative and a control with intraoperative PTH (Parathormone) were performed in all patients. Thirty eight patients (32%) were operated in ambulatory surgery and 82 (68%) during a traditional hospital; 54 were done under local anesthesia and 66 under general anesthesia. The age has not been a discriminatory factor. On the other hand, the location of residence does not allow always the practice of ambulatory surgery. The possibility of pluriglandular disease in patient operated under local anesthesia need a special attention and sometimes a new intervention under general anesthesia must be performed. But finally, the results, in terms of healing, are identical with a successful rate over 98%.
