Incidental Parathyroidectomy During Total Thyroidectomy as a Possible Risk Factor of Hypocalcemia. Experience of a Single Center and Review of Literature

Spaziani, Erasmo; Filippo, Annalisa Romina Di; Cristofano, Claudio Di; Caruso, Giuseppe; Spaziani, Matteo; Orelli, Simone; Fiorini, Francesco; Picchio, Marcello; Cesare, Alessandro De

doi:10.4183/aeb.2021.207

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…In addition, studies have reported that removing one or two glands does not significantly affect PH. 11 , 26 , 39 …”

Section: Discussionmentioning

confidence: 99%

Factors affecting the rates of incidental parathyroidectomy during thyroidectomy

Arslan,

Zeren,

Yildirim

et al. 2024

annals

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Background The most important factors affecting the development of postoperative hypocalcaemia (PH) include intraoperative trauma to the parathyroid glands, incidental parathyroidectomy (IP), and the surgeon's experience. In this study, we aimed to determine the incidence of IP, evaluate its effect on postoperative calcium levels and investigate the effect of surgeon experience and volume on IP incidence and postoperative calcium levels. Methods This retrospective study included 645 patients who underwent thyroid surgery at the Department of General Surgery, Kütahya Health Sciences University between September 2016 and March 2020. All patients underwent surgery at a single clinic by general surgeons experienced in thyroid surgery and their residents (3–5 years). Results Normal parathyroid glands were reported in 58 (8.9%) of 645 patients. In 5 (8.6%) of 58 patients the parathyroid gland was detected in the intrathyroidal region. PH developed in ten patients (17.2%) with incidental removal of the parathyroid glands. A statistically significant difference was found between the number of incidentally removed parathyroid glands and the development of hypocalcaemia (p<0.05). Normal parathyroid glands were reported in the pathology of 37 (7.9%) patients operated on by general surgeons and 22 (12.6%) patients operated on by their residents. PH developed in 39 (8.2%) patients operated on by general surgeons and in 8 (4.5%) patients operated on by their residents. Conclusions We found that the complication rate during the resident training process was the same as that of experienced general surgeons. A thyroidectomy can be safely performed by senior residents during residential training.

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“…In addition, studies have reported that removing one or two glands does not significantly affect PH. 11 , 26 , 39 …”

Section: Discussionmentioning

confidence: 99%

Factors affecting the rates of incidental parathyroidectomy during thyroidectomy

Arslan,

Zeren,

Yildirim

et al. 2024

annals

View full text Add to dashboard Cite

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Correlation Between Serum 1,25(OH)2D3, Serum Phosphorus, and Parathyroid Hormone and Parathyroid Function After Central Lymph Node Dissection in Patients with Papillary Thyroid Carcinoma

Yu,

Li,

et al. 2024

Mol Biotechnol

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Risk Factors for Hypoparathyroidism after Thyroid Surgery: A Single-Center Study

Privitera

Centonze

Vignera

et al. 2023

JCM

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Background: Hypoparathyroidism is one of the most common complications after thyroidectomy. This study evaluated the incidence and potential risk factors for postoperative hypoparathyroidism after thyroid surgical procedures in a single high-volume center. Methods: In this retrospective study, in all patients undergoing thyroid surgery from 2018 to 2021, a 6 h postoperative parathyroid hormone level (PTH) was evaluated. Patients were divided into two groups based on 6 h postoperative PTH levels (≤12 and >12 pg/mL). Results: A total of 734 patients were enrolled in this study. Most patients (702, 95.6%) underwent a total thyroidectomy, while 32 patients underwent a lobectomy (4.4%). A total of 230 patients (31.3%) had a postoperative PTH level of <12 pg/mL. Postoperative temporary hypoparathyroidism was more frequently associated with female sex, age < 40 y, neck dissection, the yield of lymph node dissection, and incidental parathyroidectomy. Incidental parathyroidectomy was reported in 122 patients (16.6%) and was correlated with thyroid cancer and neck dissection. Conclusions: Young patients undergoing neck dissection and with incidental parathyroidectomy have the highest risk of postoperative hypoparathyroidism after thyroid surgery. However, incidental parathyroidectomy did not necessarily correlate with postoperative hypocalcemia, suggesting that the pathogenesis of this complication is multifactorial and may include an impaired blood supply to parathyroid glands during thyroid surgery.

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Incidental Parathyroidectomy During Total Thyroidectomy as a Possible Risk Factor of Hypocalcemia. Experience of a Single Center and Review of Literature

Cited by 3 publications

References 10 publications

Factors affecting the rates of incidental parathyroidectomy during thyroidectomy

Factors affecting the rates of incidental parathyroidectomy during thyroidectomy

Correlation Between Serum 1,25(OH)2D3, Serum Phosphorus, and Parathyroid Hormone and Parathyroid Function After Central Lymph Node Dissection in Patients with Papillary Thyroid Carcinoma

Risk Factors for Hypoparathyroidism after Thyroid Surgery: A Single-Center Study

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