461 A Retrospective Audit of the Success Rate and Complications of Parathyroidectomy in Primary Hyperparathyroidism

Abstract Aim Primary hyperparathyroidism (pHPT) is a clinical disorder which presents with hypercalcaemia. The definitive management for such cases Parathyroidectomy. Few centres have reported their success rate this procedure. We conducted retrospective review to compare the and complications in Parathyroidectomy at our centre. Method After approval from ethical committee, data was collected case files of patients. Inclusion criteria performed pHPT between 2013 2020 institute. Data included demographics pre- post-operative Calcium / Parathyroid hormone levels calculate rate. procedure defined as successful if calcium returned normal ranges (<2.6 mmol/L) according NICE guidelines. Results 246 patients mean age 61 years were included. 222 (90.24%) had level return indicating 24 (9.75%) persistence or recurrence hypercalcaemia failure surgery. significantly higher (96.84%) last 2 (2019 – 2020) audit suggesting an improvement outcomes. Five (2.03%) out related Two cord paresis, two neck haematoma one experienced hypocalcaemia hungry bone syndrome. Conclusions surgical outcomes especially are comparable other specialized mentioned review. This Audit helps us demonstrate results over