Discussion on: Increasing trend of bilateral neck exploration in primary hyperparathyroidism

Abstract

DR. CHRISTOPHER R. McHENRY (Cleveland, Ohio): Your results document the excellent outcomes of an experienced high volume endocrine surgeon with a 2.8% rate of persistent disease and a 1.1% rate of recurrent disease for patients with sporadic hyperparathyroidism undergoing initial parathyroidectomy. The authors report an increase in the rate of bilateral neck exploration from 30% in 2010 to 50% in 2017, and an increase in the detection of multiglandular from 22% in 2010 to 41% in 2017.