system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: INTRODUCTION, METHOD, RESULTS, DISCUSSION. Meshes: Ambulatory Surgical Procedures, Feasibility Studies, Humans, Hyperparathyroidism, Primary, London, Minimally Invasive Surgical Procedures, Neck, Parathyroidectomy, Radionuclide Imaging, Technetium, Ultrasonography.
user
Can parathyroidectomy for primary hyperparathyroidism be carried out as a day-case procedure? Context: Surgery for primary hyperparathyroidism has traditionally involved a bilateral neck exploration performed as an in-patient procedure. We present a feasibility study to demonstrate whether, with a focused surgical exploration, the procedure can be carried out as a day case. Eighty-seven patients had pre-operative sestamibi and ultrasound scans of the neck. When the results of these scans agreed, a unilateral neck exploration was carried out. Sixty-seven patients received a focused approach parathyroidectomy. Ninety-seven per cent of these patients were normocalcaemic after the first operation. All patients who fitted the day-case criteria left hospital the following morning. When pre-operative imaging results agree, a parathyroidectomy can be carried out using a unilateral neck exploration, avoiding the increased risks associated with a bilateral exploration.
assistant
Parathyroidectomy can be safely carried out as a day-case procedure in selected patients.