Table 1.
Patients in whom focused miminally invasive parathyroidectomy was planned | Patients in whom bilateral neck exploration was planned | |
Total patients number | 320 | 107 |
Solitary PA and normal thyroid gland* | 320 | 0 |
Solitary PA and nodular goitre* | 0 | 51 |
Parathyroid multigland disease | 0 | 27 |
Negative sestamibi scan | 0 | 21 |
History of familial hyperparathyroidism | 0 | 3 |
History of multiple endocrine neoplasia (MEN) | 0 | 4 |
History of neck irradiation | 0 | 1 |
Previous thyroid/parathyroid surgery | 75 | 18 |
Mean (and range) levels of preoperative serum calcium (mg/dl) | 12.1 (10.6 – 13.8) | 12.2 (10.6 – 13.7) |
Mean (and range) levels of preoperative serum PTH (pg/ml) | 196 (84 – 351) | 221 (91 – 336) |
Mean (and range) operating time, minutes | 32 (15 – 58) | 78 (52 – 107) |
Mean (and range) hospital stay, days | 1.2 (1 – 2) | 2.5 (2 – 5) |
Mean (and range) post-surgical follow-up, months | 15.3 (18 – 70) | 15.9 (18 – 83 |
Recurrent hyperparathyroidism | 0 cases | 4 cases; 3.7% (all multigland disease at first diagnosis) |
PA = parathyroid adenoma
*Thyroid gland evaluated by thyroid scan and ultrasound