TH8.4 The potential for day case total parathyroidectomy in patients with secondary hyperparathyroidism

Abstract Aims Hypocalcaemia is a common complication after parathyroidectomy for secondary hyperparathyroidism (SHPT) and often the cause of prolonged hospital stay post operatively. Although there no current guidance on targets total SHPT, recommends day-case rate 90% patients undergoing surgery primary hyperparathyroidism. Our centre has developed safe protocol which allows us to perform parathyroidectomies as procedure in with SHPT. This protocol, conjunction renal physicians, involves giving alpha calcidol pre-operatively 5 days, minimise incidence hypocalcaemia, close monitoring calcium levels operatively, permit discharge. Methods We carried out single retrospective study all who underwent SHPT between February 2005 May 2021. All received regimen pre-operatively. Data patient baseline characteristics, peri-operative calcium, potassium PTH levels, length stay, operative details, readmission 30-day morbidity were collected. Results 49 during period. 67% discharged day 0 or 1 post-operatively. Reasons remaining included refractory hyperkalaemia requiring dialysis, complications anaesthesia, well hypocalcaemia few cases. No required post-operative Conclusion Day-case can be achieved safely pre-operative