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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

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Summary

Introduction

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.

Results

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.

Conclusion

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.

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Authors and Affiliations

  1. Faculty of Medicine, Cairo University, Al-Manyal, 11956, Cairo, Egypt

    Hany Maurice Mikhail &  Amr Abdallah Mohsen M.D., FRCSEd

  2. National Research Centre, Cairo, Egypt

    Ahmed Amr Mohsen

Authors
  1. Hany Maurice Mikhail
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  2. Ahmed Amr Mohsen
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  3. Amr Abdallah Mohsen M.D., FRCSEd
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Corresponding author

Correspondence to Amr Abdallah Mohsen M.D., FRCSEd.

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Conflict of interest

H.M. Mikhail, A.A. Mohsen, and A.A. Mohsen declare that they have no competing interests.

Ethical standards

For this article, no studies with human participants or animals were performed by any of the authors. Informed consent was obtained from all patients for being included in the study. Consent included permission to use their tested factors (preoperative serum calcium and extent of surgery) and the outcome parameter (hospital stay) for this research study.

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Mikhail, H.M., Mohsen, A.A. & Mohsen, A.A. 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. Eur Surg 52, 96–99 (2020). https://doi.org/10.1007/s10353-019-00608-0

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  • DOI: https://doi.org/10.1007/s10353-019-00608-0

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