541. Incidental Parathyroidectomy During Total Thyroidectomy

Katsouli, Georgia; Ignatova, O.; Chinari, Georgia; Perrakis, N.; Tassopoulos, Georgios; Petridis, Nikolaos; Sarof, Paulos; Nomikos, J.; Arapantoni, P.; Ntatsis, Konstantinos

doi:10.1016/j.ejso.2012.06.481

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“…However, preoperative diagnosis of malignancy was also found to be an independent predictor by some of the most recent related reviews. [ 19 ] These results demonstrate that incidental parathyroidectomy occurs more often when a patient undergoes a more aggressive thyroid approach for malignancy. Delay between the onset of the disease and the operation can lead to advanced thyroid disease, making the use of a more extensive surgical procedure necessary.…”

Section: Discussionmentioning

confidence: 87%

Evaluation of clinical significance and risk factors of incidental parathyroidectomy due to thyroidectomy

et al. 2017

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We assessed the clinical significance and risk factors of incidental parathyroidectomy during total thyroidectomy with or without central neck dissection or subtotal thyroidectomy.Retrospective analysis of clinical and pathological features of 548 consecutive thyroidectomy cases was compared by grouping into inadvertent resection (IR, n = 86) with IR of parathyroid glands, non-IR (n = 462) without, and then into postoperative hypoparathyroidism (PH, n = 140) with PH and non-PH (n = 408) without.Two hundred ninety-eight patients had total thyroidectomy and 250 had subtotal thyroidectomy. IR had higher malignant disease (P < .001), total thyroidectomy (P = .016), T3 and T4 classification (P = .005), central neck dissection (P < .001), recurrent laryngeal nerve palsy (P = .003), postoperative transient hypoparathyroidism (P < .001), duration of disease prior to thyroidectomy (P < .001), and weight of excised thyroid tissue (P < .001) than non-IR.Preoperative diagnosis of malignant disease, duration of disease prior to thyroidectomy, and central neck dissection were independent risk factors for incidental parathyroidectomy. Preoperative diagnosis of malignant disease, central neck dissection, duration of disease prior to thyroidectomy, weight of excised thyroid tissue, and incidental parathyroidectomy were correlated with PH.

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Section: Discussionmentioning

confidence: 87%