Incidental parathyroidectomy during thyroid resection: incidence, risk factors, and outcome
| Autor: | Gamal A. Khairy, Abdulaziz A. Al-Saif |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Parathyroidectomy endocrine system medicine.medical_specialty Adolescent medicine.medical_treatment 030209 endocrinology & metabolism Resection Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Performed Procedure Humans 030212 general & internal medicine Thyroid problems Intraoperative Complications Aged Retrospective Studies Hypocalcemia Medical Errors business.industry Incidence Incidence (epidemiology) General surgery Thyroid Thyroidectomy General Medicine Middle Aged Thyroid Diseases Surgery medicine.anatomical_structure Original Article Calcium Female business |
| Zdroj: | Annals of Saudi Medicine |
| ISSN: | 0975-4466 0256-4947 |
| Popis: | BACKGROUND AND OBJECTIVES: Thyroidectomy is a commonly performed procedure for thyroid problems. Inadvertent removal of the parathyroid glands is one of its recognized complications, which occurs more frequently in certain high-risk patients. The aim of this study was to identify the incidence, risk factors, and clinical relevance of incidental parathyroidectomy during thyroid surgery. DESIGN AND SETTING: A retrospective review of thyroid operations performed at a tertiary referral hospital between January 2004 and December 2008. METHODS: Pathology reports were reviewed to identify the specimens that included parathyroid tissue and underlying thyroid pathology. Postoperative calcium levels were reviewed in these patients. RESULTS: During the study period, 287 thyroidectomies were performed and 47 (16.4%) patients had incidentally removed parathyroid glands. Risk factors for inadvertent parathyroid resection included total thyroidectomy (P=.0001), Hashimoto thyroiditis (P=.004), and extrathyroidal spread (P=.0003). Postoperative hypocalcemia occurred in 18 (38.3%) of the patients in whom the parathyroid gland was removed inadvertently and in 48 (20%) of the rest of the patients (P=.0123). CONCLUSION: The incidence of incidental removal of parathyroid tissue during thyroidectomy is 16.4%. Total thyroidectomy, extrathyroidal extension of the tumor, and thyroiditis were found to be the risk factors. Hypocalcemia was significantly higher among patients who had inadvertent parathyroidectomy. |
| Databáze: | OpenAIRE |
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