Monocentric Experience of Primary Hyperparathyroidism Surgery in Algeria

Abstract

Introduction: Primary hyperparathyroidism (PHPT) remains a relatively underdiagnosed disease in developing countries. Objectives: The aim of this study was to assess the demographic, pathological, biochemical and surgical characteristics of patients with PHPT in a university hospital department of otolaryngology in eastern Algeria. Materials and Method: Retrospective analysis of 62 patient records operated in our department for PHPT between January 2002 and December 2013. Results.- The mean age was 47.7 ± 15 years with a female preponderance (88.7%). The mode of discovery was during a biological assessment for bone syndrome in 42% of cases. The mean calcemia was 2.92±0.6 mmol/L and the intact serum PTH was 867.78±954.50 pmol/L. 54.8% of patients had bilateral neck exploration and 45.2% had minimally invasive open parathyroidectomy. Postoperative complications were dominated by severe hypocalcemia and hungry bone syndrome. Conclusion: The diagnosis of PHPT in our country is late and management is often performed at the stage of complications.