Parathyroid surgery using monitored anesthesia care as an alternative to general anesthesia

American Journal of Surgery
B A DitkoffP Lo Gerfo

Abstract

Although there have been several reports in the literature describing a renewed interest in performing thyroid surgery under local anesthesia (LA), there has been little information regarding parathyroid surgery under local anesthesia. We retrospectively reviewed our experience of 49 LA parathyroid patients over a 9-year period at a single institution. A bilateral cervical block (C2-C3) was administered by a single surgeon using lidocaine and bupivacaine. The study included 39 females and 10 males with an average age of 62 years (range, 35-89 years). Every surgery was curative and the final pathology revealed 46 parathyroid adenomas and 3 cases of parathyroid hyperplasia. Forty-seven percent of the patients were discharged within 6 hours of operation and the remaining patients had a 1.4-day average length of hospital stay. A group of age- and sex-matched controls who underwent parathyroid surgery using general anesthesia (GA) served as a control group with 27% of operations performed as outpatients and an average length of stay of 1.6 days. Return to work averaged 6 days for the LA group versus 8 days for the GA. In the LA group, there was one instance of postoperative hemorrhage requiring reoperation and one instance of conver...Continue Reading

Citations

Jan 12, 2000·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·T DefechereuxM E Faymonville
Feb 28, 2001·Anesthesia and Analgesia·F DexterD A Lubarsky
Feb 6, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·James Norman, Kelly Aronson
Sep 24, 1999·Annals of Surgery·F D MooreM Tanasijevic
Sep 5, 2007·World Journal of Surgery·John AllendorfPaul Logerfo
May 18, 2010·Seminars in Cardiothoracic and Vascular Anesthesia·K B SuriS Z Trooskin
Mar 5, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·James M RudaBrendan C Stack

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