BACKGROUND Since its first description, several studies have highlighted the role of the surgeon's experience in the outcome of parathyroid surgery, however, no uniform consensus exists regarding the minimum operative experience required for good surgical outcomes. This work aims to summarize the current data regarding the surgeon volume-outcome relationship for parathyroidectomy. METHODS An electronic literature review identified 85 publications, and after study selection 11 were included. An additional nine publications were added based on reference review and inclusion of publications not initially captured. CONCLUSIONS There are insufficient data to dogmatically conclude a minimum number of cases required to achieve optimal surgical results. However, extrapolation from the inclusive studies support the conclusions that higher operative volumes improve cure rates and decrease the rates of complications, recurrent disease, and perioperative costs. Endocrine Surgery fellowships or mentorships may help prepare the less experienced surgeon for successful outcomes. Although reticent to offer firm minimal volume requirements, we have made suggestions in this manuscript.

中文翻译：

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甲状旁腺手术的体积-结果关系。

背景技术自首次描述以来，数项研究已强调了外科医生经验在甲状旁腺手术结局中的作用，但是，关于良好手术结局所需的最低手术经验，尚无统一的共识。这项工作旨在总结有关甲状旁腺切除术的外科医生体积-结果关系的当前数据。方法电子文献综述确定了85种出版物，在选择研究后纳入了11种。根据参考审查，又添加了九种出版物，并纳入了最初未捕获的出版物。结论目前尚无足够的数据来断言地得出达到最佳手术效果所需的最少病例数。然而，包容性研究的推断支持以下结论：较高的手术量可提高治愈率，并减少并发症，复发性疾病和围手术期的费用。内分泌外科研究金或指导可能会帮助经验不足的外科医生做好成功治疗的准备。尽管不愿提供实实在在的最小体积要求，但我们已在本手稿中提出了一些建议。