Inadvertent parathyroidectomy and temporary hypocalcemia: An adverse natural outcome or a true complication during thyroidectomy?

Objective. The aim of this study was to assess the factors that might predict patients at increased risk for inadvertent parathyroidectomy and postoperative symptomatic hypocalcemia during thyroidectomy. Methods. Demographic data as well as the data on preoperative diagnosis, preoperative ultrasonography reports, operation reports, histological findings, and postoperative symptomatic hypocalcemia were collected. A total of 273 (83 male and 190 female patients) thyroid operations were included in this study. Results. Histopathological examination identified inadvertent parathyroidectomy in 10 (3.7%) cases. Statistical analysis identified the presence of cervical lymphadenopathy as detected by preoperative ultrasonography as a risk factor for inadvertent parathyroidectomy. In 57 patients (20.9%) clinically symptomatic postoperative hypocalcemia was observed. However, the difference in the frequency of such hypocalcemia between the patients with and without inadvertent parathyroidectomy was not significant. Statistical evaluation identified total thyroidectomy as a risk factor for postoperative hypocalcemia (p<0.005). Conclusion. Due to our experience, inadvertent parathyroidectomy is not a rare entity during thyroidectomy and the presence of cervical lymphadenopathy, as observed by preoperative ultrasonography, is the only risk factor for inadvertent parathyroidectomy. In contrast, no association between inadvertent parathyroidectomy and postoperative hypocalcemia was detected. Total thyroidectomy was found to be the sole risk factor for symptomatic temporary hypocalcemia.

Yazar Irkorucu O.
Tascilar O.
Cakmak G.K.
Emre A.U.
Ucan H.B.
Karakaya K.
Comert M.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/6200
Konu Başlıkları Complications
Hypocalcemia
Parathyroidectomy
Thyroidectomy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı Endocrine Regulations
Dergi Cilt Bilgisi 41
Dergi Sayısı 1
Sayfalar 143 - 148
Yayın Yılı 2007
Eser Adı
[dc.title]
Inadvertent parathyroidectomy and temporary hypocalcemia: An adverse natural outcome or a true complication during thyroidectomy?
Yazar
[dc.contributor.author]
Irkorucu O.
Yazar
[dc.contributor.author]
Tascilar O.
Yazar
[dc.contributor.author]
Cakmak G.K.
Yazar
[dc.contributor.author]
Emre A.U.
Yazar
[dc.contributor.author]
Ucan H.B.
Yazar
[dc.contributor.author]
Karakaya K.
Yazar
[dc.contributor.author]
Comert M.
Yayın Yılı
[dc.date.issued]
2007
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective. The aim of this study was to assess the factors that might predict patients at increased risk for inadvertent parathyroidectomy and postoperative symptomatic hypocalcemia during thyroidectomy. Methods. Demographic data as well as the data on preoperative diagnosis, preoperative ultrasonography reports, operation reports, histological findings, and postoperative symptomatic hypocalcemia were collected. A total of 273 (83 male and 190 female patients) thyroid operations were included in this study. Results. Histopathological examination identified inadvertent parathyroidectomy in 10 (3.7%) cases. Statistical analysis identified the presence of cervical lymphadenopathy as detected by preoperative ultrasonography as a risk factor for inadvertent parathyroidectomy. In 57 patients (20.9%) clinically symptomatic postoperative hypocalcemia was observed. However, the difference in the frequency of such hypocalcemia between the patients with and without inadvertent parathyroidectomy was not significant. Statistical evaluation identified total thyroidectomy as a risk factor for postoperative hypocalcemia (p<0.005). Conclusion. Due to our experience, inadvertent parathyroidectomy is not a rare entity during thyroidectomy and the presence of cervical lymphadenopathy, as observed by preoperative ultrasonography, is the only risk factor for inadvertent parathyroidectomy. In contrast, no association between inadvertent parathyroidectomy and postoperative hypocalcemia was detected. Total thyroidectomy was found to be the sole risk factor for symptomatic temporary hypocalcemia.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Complications
Konu Başlıkları
[dc.subject]
Hypocalcemia
Konu Başlıkları
[dc.subject]
Parathyroidectomy
Konu Başlıkları
[dc.subject]
Thyroidectomy
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1210-0668
İlk Sayfa Sayısı
[dc.identifier.startpage]
143
Son Sayfa Sayısı
[dc.identifier.endpage]
148
Dergi Adı
[dc.relation.journal]
Endocrine Regulations
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
41
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/6200
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
20
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 07:34
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Tıklayınız
hypocalcemia parathyroidectomy inadvertent postoperative symptomatic preoperative thyroidectomy factor ultrasonography patients identified reports observed between detected lymphadenopathy Statistical presence during cervical frequency However difference clinically Objective temporary association contrast entity without experience Conclusion evaluation significant included
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