Outcomes of Parathyroid Autotransplantation During Total Thyroidectomy: A Comparison with Age- and Sex-Matched Controls

Purpose: To determine the effect of parathyroid autotransplantation (PA) on postoperative hypocalcemia in cases of total thyroidectomy. Materials and Methods: Cases undergoing total thyroidectomy and PA were compared with age and sex-matched controls who had not undergone PA. The postoperative perce...

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Bibliographic Details
Published in:Journal of investigative surgery 2017-05, Vol.30 (3), p.201-209
Main Authors: Kirdak, Turkay, Dundar, Halit Ziya, Uysal, Erdal, Ocakoglu, Gokhan, Korun, Nusret
Format: Article
Language:English
Subjects:
Adult
Calcium - blood
Female
Goiter, Nodular
Humans
hypocalcemia
Hypocalcemia - blood
Hypocalcemia - etiology
Hypocalcemia - prevention & control
inadvertent parathyroidectomy
Male
Middle Aged
Operative Time
parathormone
Parathyroid autotransplantation
Parathyroid Glands - transplantation
Parathyroid Hormone - blood
Postoperative Complications - blood
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Retrospective Studies
thyroidectomy
Thyroidectomy - adverse effects
Transplantation, Autologous
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Summary:Purpose: To determine the effect of parathyroid autotransplantation (PA) on postoperative hypocalcemia in cases of total thyroidectomy. Materials and Methods: Cases undergoing total thyroidectomy and PA were compared with age and sex-matched controls who had not undergone PA. The postoperative percentage changes (PC) of parathyroid hormone (PTH) and calcium (Ca+2) in the first 12-24 hours (12-24hr→preop), between the 1st-3rd weeks (1-3wk→preop) and at the 6th month (6mo→preop), the rates of hypocalcemia (Ca+2< 8mg/dL) and low PTH level (PTH< 15 pg/mL), permanent hypocalcemia, inadvertent parathyroidectomy in both groups were compared. Results: The number of patients with PTH12-24hr0.05). In the PA&age≤50 group, the rate of inadvertent parathyroidectomy was higher than that of cases over age 50 (p=0.029). Conclusion: In spite of the presence of an increased postoperative hypocalcemia trend in cases requiring PA during total thyroidectomy, the rates of transient and permanent hypocalcemia were not different to the control cases. But the frequency of cases with low PTH level in cases undergoing PA was higher than that of the control cases. In cases of 50 years of age and under, who had undergone PA, the possibility of inadvertent parathyroidectomy increased.
ISSN:0894-1939
1521-0553
DOI:10.1080/08941939.2016.1232768