article = {SCR-2021-1-119}
title = {Complications and Cure Rates of Parathyroidectomy for Primary Hyperparathyroidism with Negative Localization Studies}
journal = {Surgical Case Reports}
year = {2021}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2021.01.19}
url = {https://www.sciencerepository.org/complications-and-cure-rates-of-parathyroidectomy-for-primary-hyperparathyroidism_SCR-2021-1-119 
author = {Bassam  Abboud,Georges Assaf,Fares Yared,Alaa El-Kheir,}
keywords = {Primary hyperparathyroidism, MIBI scan, ultrasound, adenoma, multiple lesions}
abstract ={Purpose: This paper evaluates the outcomes of parathyroidectomy for primary hyperparathyroidism with
negative localization studies.
Methods: All patients with primary hyperparathyroidism with negative preoperative ultrasound and MIBI
scan who underwent parathyroidectomy were retrospectively included. Three groups were defined. Group
1 included the patients with negative ultrasound and MIBI. Group 2 included the patients with negative
ultrasound and positive MIBI. Group 3 included the patients with positive ultrasound and negative MIBI.
Results: In Group 1, 51% and 86% of patients had one adenoma and atypical localizations respectively.
Unique adenoma and atypical localizations were showed in 87% and 93% of patients in Group 2
respectively. In Group 3, 83% and 17% of patients had one adenoma and atypical localizations respectively.
No cervical hematoma was noted. Transient recurrent laryngeal nerve palsy occurred in 2 patients. Seven
patients required postoperative calcium supplementation for 2 to 5 months, and one had recurrent
hypercalcemia at follow-up. Cure rate was 98,3%.
Conclusion: When US and MIBI were negative, multiple lesions and atypical localizations were frequent.
The success rate and postoperative complications were not affected with this event.}