Operatieve behandeling van primaire hyperparathyreoïdie in dagbehandeling

Conflict of interest: none declared. Financial support: none declared.

• The standard of care for primary hyperparathyroidism is minimally invasive surgical removal of hyperfunctional parathyroid tissue.

• Abroad, this minimally invasive approach is often performed in the ambulatory setting.

• Patients with primary hyperparathyroidism are eligible for outpatient surgery if the risk of conducting the operation is low and various imaging techniques have confirmed the location of the parathyroid adenoma.

• Of 20 patients with primary hyperparathyroidism who had been treated at our hospital’s day surgery department, 5 visited the emergency department the next day because of a tingling sensation; however, minor hypocalcaemia was observed in only 1 of these patients.

• This relatively high number of emergency-department visits may have been the result of the strict instructions given to the patients or a rapid fall in their serum calcium levels, even without this having resulted in hypocalcaemia.

• Calcium supplementation is affordable and safe and could reduce the number of visits to the emergency ward after outpatient treatment of hyperparathyroidism.