Risk of Postoperative Hypocalcemia in Patients Underwent Total Thyroidectomy, Subtotal Thyroidectomy and Lobectomy Surgeries
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Abstract
The main objective of this study was to identify the incidence of post-thyroidectomy hypocalcemia in patients underwent lobectomy, subtotal thyroidectomy or total thyroidectomy. This randomized trial study was performed from May 2010 to July 2011 among 108 consecutive patients undergoing thyroidectomy. Patients were allocated into 3 groups based on the 3 common type of thyroidectomy. Pre and postoperative serum calcium levels were determined by using standard protocol for all patients. All patients' preoperative serum calcium levels were normal. Post-thyroidectomy hypoglycemia occurred in 0%, 8.3% and 8.3% of patients who underwent total hypocalcemia, subtotal thyroidectomy and lobectomy, respectively, which represents 5.6% of all patients who shown hypocalcemia (P=0.58). Serum calcium levels were fall in 93% patients, however within several days were returned to normal ranges. We did not find a significant relation between the hypocalcemia and thyroidectomy types. We recommended determination other alternative factors as a more effective prediction for postoperative hypocalcemia.
Karamanakos SN, Markou KB, Panagopoulos K, et al. Complications and risk factors related to the extent of surgery in thyroidectomy. Results from 2,043 procedures. Hormones (Athens) 2010;9(4):318-25.
Abboud B, Sargi Z, Akkam M, et al. Risk factors forpostthyroidectomy hypocalcemia. J Am Coll Surg 2002;195(4):456-61.
Dedivitis RA, Pfuetzenreiter Jr EG, Nardi CE, et al. Prospective study of clinical and laboratorial hypocalcemia after thyroid surgery. Braz J Otorhinolaryngol 2010;76(1):71-7.
Erbil Y, Barbaros U, Ozbey N, et al. Risk factors of incidental parathyroidectomy after thyroidectomy for benign thyroid disorders. Int J Surg 2009;7(1):58-61.
Misiakos EP, Liakakos T, Macheras A, et al. Total thyroidectomy for the treatment of thyroid diseases in an endemic area. South Med J 2006;99(11):1224-9.
Miki H, Inoue H, Kitaichi M, et al. Estimation of free calcium levels after thyroidectomy. J Med Invest 1997;44(1-2):83-7.
Bove A, Bongarzoni G, Dragani G, et al. Should female patients undergoing parathyroid-sparing total thyroidectomy receive routine prophylaxis for transient hypocalcemia? Am Surg 2004;70(6):533-6.
Khanzada TW, Samad A, Memon W, Kumar B. Post thyroidectomy complications:the Hyderabad experience. J Ayub Med Coll Abbottabad 2010;22(1):65-8.
Wilson RB, Erskine C, Crowe PJ. Hypomagnesemia and hypocalcemia after thyroidectomy:prospective study.World J Surg 2000;24(6):722-6.
Wingert DJ, Friesen SR, Iliopoulos JI, Pierce GEet al. Post-thyroidectomy hypocalcemia. Incidence and risk factors. Am J Surg 1986;152(6):606-10.
Thomusch O, Machens A, Sekulla C, et al. The impact of surgical technique on postoperative hypoparathyroidism in bilateral thyroid surgery:a multivariate analysis of 5846 consecutive patients. Surgery 2003;133(2):180-5.
Mehanna HM, Jain A, Randeva H, et al. Postoperative hypocalcemia--the difference a definition makes. HeadNeck 2010;32(3):279-83.
Kaplan EL, Bartlett S, Sugimoto J, Fredland A. Relation of postoperative hypocalcemia to operative techniques:deleterious effect of excessive use of parathyroid biopsy. Surgery 1982;92(5):827-34.
Bergamaschi R, Becouarn G, Ronceray J, et al. Morbidity of Thyroid Surgery. Am J Surg 1998;176(1):71-5.
| Files | ||
| Issue | Vol 52, No 3 (2014) | |
| Section | Articles | |
| Keywords | ||
| Hypocalcemia Lobectomy Subtotal thyroidectomy Total thyroidectomy | ||
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