Incidental parathyroidectomy during thyroid surgery using capsular dissection technique
| Autor: | Pavol Praženica, Richard Holý, Kieran O’Driscoll |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Parathyroidectomy
Adult Male medicine.medical_specialty medicine.medical_treatment Postoperative Complications medicine Humans Aged Czech Republic Retrospective Studies Incidental Findings Dissection technique business.industry Incidence (epidemiology) Incidence Thyroid Thyroidectomy Middle Aged Thyroid Diseases Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Neck Dissection Female Radiology business |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 150(5) |
| ISSN: | 1097-6817 |
| Popis: | To identify incidence, preoperative features, surgical factors, and postoperative events of incidental parathyroidectomy (IP) during thyroidectomy.A total of 1068 consecutive patients who underwent thyroidectomy performed by a single surgeon between January 2003 and April 2012 were enrolled in retrospective study with prospectively collected data.University hospital.To assess the impact of IP on study variables, patients were stratified into 2 study groups: IP group and non-IP group. Univariate and multivariate analyses identified significant correlates of IP.In all, 5.4% patients experienced IP. Significant difference (P.001) was in incidence of temporary hypocalcemia between IP group (36.2%) and non-IP group (16.8%). Multivariable logistic regression model identified total thyroidectomy (odds ratio 3.937, 95% confidence interval [CI] 1.462-10.601, P = .007) and Graves' disease (odds ratio 2.192, 95% CI 1.157-4.158, P = .016) as risk-adjusted factors associated with IP. Multivariate analysis of repeated measures identified statistically significant difference of repeated total calcium level (P.001) and ionized calcium level (P = .020) between study groups.IP during thyroidectomy might be potential complication. Total thyroidectomy, Graves' disease, longer operation time, and identification 3 and more parathyroid glands seemed to be predictive factors for IP. IP is significantly associated with temporary hypocalcemia, but not with permanent hypoparathyroidism. |
| Databáze: | OpenAIRE |
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