Operatieve behandeling van primaire hyperparathyreoïdie in dagbehandeling
Open

Stand van zaken
07-06-2012
Tessa M. van Ginhoven, Wanda Geilvoet, Wouter W. de Herder en Casper H.J. van Eijck

Outpatient surgical treatment of primary hyperparathyroidism

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.