Preservation of parathyroid glands during total thyroidectomy

Attie, Joseph N.; Khafif, Rene A.

doi:10.1016/0002-9610(75)90472-9

Cited by 120 publications

(56 citation statements)

References 9 publications

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“…In some cases, exogenous replacement therapy is needed (3). Permanent hypoparathyroidism occurs in 0.5 to 2.9% of patients undergoing bilateral subtotal resection and in 0-33% of patients undergoing total thyroidectomy (4)(5)(6). In this study, the incidence of temporary and permanent hypocalcemia following total, near total and bilateral subtotal thyroidectomy performed in our clinic during the last 3 years and the relationship of hypocalcemia with surgical, clinical and biological factors of interest were analyzed retrospectively.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the factors that have an effect on hypocalcemia following thyroidectomy

Kalyoncu¹,

Gönüllü²,

Gedik³

et al. 2014

UCD

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Objective: The incidence of and risk factors for hypocalcemia following thyroidectomy were evaluated in this study. Material and Methods:One hundred and ninety thyroidectomy patients were evaluated retrospectively for factors that might contribute to postoperative hypocalcemia; age, hyperthyroidism, malignancy, the extent of surgery (total/near total/subtotal thyroidectomy), cervical lymph node dissection, and incidental parathyroidectomy. Results:The rate of transient hypocalcemia/hypoparathyroidism was 19.47%, with a permanent hypoparathyroidism rate of 4.74%. Factors affecting the development of transient hypocalcemia were found as being operated for hyperthyroidism, and use of total thyroidectomy as the surgical method. Total thyroidectomy increased the risk of postoperative hypocalcemia by 3.16 fold. Patients undergoing operations for hyperthyroidism had a 2.3 fold increase, and those undergoing total thyroidectomy had a 3.16 fold risk of postoperative hypocalcemia. Conclusion:Hyperthyroidism surgery and total thyroidectomy lead to a higher risk of developing early postoperative or transient hypocalcemia. According to our results, no significant relationship could be established between any of the study parameters and persistent hypocalcemia.

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Section: Introductionmentioning

confidence: 99%

Analysis of the factors that have an effect on hypocalcemia following thyroidectomy

Kalyoncu¹,

Gönüllü²,

Gedik³

et al. 2014

UCD

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“…8,9 In the last 40 years there are only a few publications in the literature about the use of microsurgery in thyroid surgery, and all emphasize the concept that microsurgery improves surgical results especially in reinterventions and in lymphadenectomy. 8,[10][11][12][13][14][15][16][17][18] We recently published a paper in which thyroid complications are analysed from a large number of patients using microsurgical technique and optical magnification. 19 In this study we concluded that using the approach proposed can reduce the complications both with regard to hypoparathyroidism and to recurrent nerve paralysis.…”

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confidence: 99%

Use of optical magnification and microsurgical technique in general surgery

Orazi¹,

Ortensi²

2017

AMJ

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“…Prevention of RLN injury is another skill test for thyroid surgeon. Experienced surgeons develop their own way, though many standard techniques such as inferior, lateral, and superior approaches are described for RLN identification [27][28][29]. Capsular dissection of the thyroid and delineation of anatomical landmarks such as tracheoesophageal groove, ITA, TZ, LB, and inferior constrictor muscle are few basic surgical principles forming essential components of any approach for identification and preservation of RLN (Figs.…”

Section: Discussionmentioning

confidence: 99%

Salient Anatomical Landmarks of Thyroid and Their Practical Significance in Thyroid Surgery: a Pictorial Review of Thyroid Surgical Anatomy (Revisited)

Bhargav¹

2013

Indian J Surg

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Thyroid surgery is a prototype of operations requiring thorough knowledge of surgical anatomy. There are many vital and delicate anatomical structures such as recurrent laryngeal nerve, superior laryngeal nerve, parathyroid glands, and distinct fascial planes surrounding the thyroid gland. A protean range of pathologies such as goiter, nodules, thyroiditis, and malignancy distort or alter the location and course of these structures and planes. The distinct vascular supply and high vascularity of thyroid region challenges the surgeon's expertise. Several pathologies like malignancy, multinodularity, toxicity, and retrosternal extension further compounds this vascular aspect of surgery. Several structures of embryological importance such as pyramidal lobe, tubercle of Zuckerkandl, and ligament of Berry have decisive clinical implications in the surgical management of thyroid disorders. Surgeons attempting thyroidectomy need to have thorough knowledge of embryology and surgical anatomy of the thyroid gland. In this context, we highlight through a pictorial assay the embryological and anatomical aspects of the thyroid gland emphasizing on their clinical and surgical importance.

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Preservation of parathyroid glands during total thyroidectomy

Cited by 120 publications

References 9 publications

Analysis of the factors that have an effect on hypocalcemia following thyroidectomy

Analysis of the factors that have an effect on hypocalcemia following thyroidectomy

Use of optical magnification and microsurgical technique in general surgery

Salient Anatomical Landmarks of Thyroid and Their Practical Significance in Thyroid Surgery: a Pictorial Review of Thyroid Surgical Anatomy (Revisited)

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