titoli, abstracts, parole chiave >>>
Accidental parathyroidectomy as a risk factor for postoperative hypocalcemia in thyroid surgery

Paliogiannis, Panagiotis and Pisano, Ilia Patrizia and Marrosu, Antonio and Pulighe, Fabio and Fara, Paola and Biddau, Carlo and Sotgiu, Giovanni and Trignano, Mario (2014) Accidental parathyroidectomy as a risk factor for postoperative hypocalcemia in thyroid surgery. Acta Medica Mediterranea, Vol. 30 (91), p. 91-94. ISSN 0393-6384. Article.

Full text not available from this repository.

Alternative URLs:

Abstract

Introduction Hypocalcemia is the most common complication in thyroid surgery. The identification of risk factors is useful toavoid postoperative hypocalcemia and prolonged hospital stay in patients who underwent total thyroidectomy. The aim of this study was to evaluate the impact of accidental parathyroidectomy during thyroidectomy on the postoperative calcemic status of the patients.
Materials and Methods Clinical and pathological data of 102 patients who underwent total thyroidectomy were reviewed. We compared postoperative serum calcium levels of 51 patients without accidental removal of the parathyroids (group A) with those of 51 patients with unintentional parathyroidectomy (group B). Furthermore, calcemic levels were stratified in relation to the number of parathyroids accidentally removed.
Results Biochemical postoperative hypocalcemia was observed in 40 (39%) patients overall: eleven of them belonged to Group A and 29 to Group B. The mean value of postoperative calcemia was 8.5 mg/dL in group A and 7.9 mg/dL in Group B. Patients with one parathyroid excised presented hypocalcemia in 50% of cases, while biochemical hypocalcemia was observed in all patients with more than one gland excised.
Conclusion Biochemical postoperative hypocalcemia was observed in 40 (39%) patients overall: eleven of them belonged to Group A and 29 to Group B. The mean value of postoperative calcemia was 8.5 mg/dL in group A and 7.9 mg/dL in Group B. Patients with one parathyroid excised presented hypocalcemia in 50% of cases, while biochemical hypocalcemia was observed in all patients with more than one gland excised.

Item Type:Article
ID Code:10103
Status:Published
Refereed:Yes
Uncontrolled Keywords:Thyroid, hypocalcemia, thyroidectomy, parathyroids
Subjects:Area 06 - Scienze mediche > MED/01 Statistica medica
Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Biomediche
Publisher:Carbone Editore
ISSN:0393-6384
Deposited On:16 Sep 2014 11:23

I documenti depositati in UnissResearch sono protetti dalle leggi che regolano il diritto d'autore

Repository Staff Only: item control page