Prospective biochemical and scintigraphic evaluation of autografted normal parathyroid glands in patients undergoing thyroid operations

Sierra, Mauricio; Herrera, Miguel F.; Herrero, Bertha; Jiménez, Felipe Piñol; Sepúlveda, Jesús; Lozano, Ruben; Gamino, Rosa; González, Ofelia; Correa‐Rotter, Ricardo

doi:10.1067/msy.1998.92003

Cited by 28 publications

(33 citation statements)

References 15 publications

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“…25 Our study showed that the start of function of the parathyroid autografts was 2 weeks after transplantation regardless of the number of autotransplanted glands as indicated by the pattern of recovery of the biochemical markers and the results of the EM. On the other hand, Hickey and Samaan, 26 and Diaz-Buxo et al 27 observed higher immunoreactive PTH levels in the grafted arm as early as 3 days after transplantation.…”

Section: Discussionmentioning

confidence: 88%

Assessment of parathyroid autotransplantation for preservation of parathyroid function after total thyroidectomy

et al. 2003

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Section: Discussionmentioning

confidence: 88%

Assessment of parathyroid autotransplantation for preservation of parathyroid function after total thyroidectomy

et al. 2003

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“…For the other half, the glands must be swept off the thyroid capsule. Any devascularized parathyroid gland should be minced and transplanted into a sternocleidomastoid muscle [10]. Prevention is essential.…”

Section: Discussionmentioning

confidence: 99%

Reoperative surgery for thyroid disease

Lefèvre

Trésallet

Leenhardt

et al. 2007

Langenbecks Arch Surg

163

104

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“…It has been noted that in 83% of cases, parathyroid glands with impaired nutrient supply or autotransplanted dissected glands with intact capsules retained their biochemical activity [28]. …”

Section: Discussionmentioning

confidence: 99%

Factors affecting postoperative hypocalcemia after thyroid surgery: Importance of incidental parathyroidectomy

Özemir

Buldanlı

Yener

et al. 2016

North Clin Istanbul

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OBJECTIVE:The present study evaluated effects of incidental parathyroidectomy, surgical technique, and presence of thyroiditis or hyperthyroidism on occurrence of postoperative persistent or transient hypocalcemia.METHODS:Patients who underwent thyroidectomy at İstanbul Medeniyet University between 2013 and 2015 were included in the study. Patient information, postoperative serum calcium levels, and pathology reports were investigated retrospectively. Group 1 was made up of patients who were found to have hypocalcemia (calcium ≤8.5 mg/dL) according to postoperative serum level and normocalcemic patients were placed in Group 2. Groups were compared statistically in terms of rate of incidental parathyroidectomy, surgical technique, and presence of thyroiditis or hyperthyroidism.RESULTS:Mean age was 49.8±12.8 years (range: 20-88). A total of 417 patients were included in the study, 74 (17.7%) were male and 343 (82.3%) were female. Group 1 consisted of 205 (49.2%) patients who had hypocalcemia according to postoperative serum level, and remaining 212 (50.8%) patients were placed in Group 2. In Group 1, 38 (18.5%) patients had incidental parathyroidectomy, and with only 18 (8.5%) patients in Group 2, a statistically significant relationship was found between incidental parathyroidectomy and hypocalcemia (p=0.003). There was no statistically significant difference in terms of presence of thyroiditis or hyperthyroidism between groups. There was statistically significant decrease in postoperative hypocalcemia rate in patients with lobectomy compared to patients with bilateral total thyroidectomy or central neck dissection (p<0.01).CONCLUSION:Risk of postoperative hypocalcemia may be reduced with lobectomy for selected patients. In addition, delicate dissection during thyroidectomy is important in order to protect parathyroid glands and prevent hypocalcemia.

show abstract

Prospective biochemical and scintigraphic evaluation of autografted normal parathyroid glands in patients undergoing thyroid operations

Cited by 28 publications

References 15 publications

Assessment of parathyroid autotransplantation for preservation of parathyroid function after total thyroidectomy

Assessment of parathyroid autotransplantation for preservation of parathyroid function after total thyroidectomy

Reoperative surgery for thyroid disease

Factors affecting postoperative hypocalcemia after thyroid surgery: Importance of incidental parathyroidectomy

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