Terminal ligature of inferior thyroid artery branches during total thyroidectomy for multinodular goiter is associated with higher postoperative calcium and PTH levels

Cocchiara, G; Cajozzo, M.; Amato, Giuseppe; Mularo, A.; Agrusa, Antonino; Romano, G.

doi:10.1016/j.jviscsurg.2010.08.020

Cited by 26 publications

(27 citation statements)

References 25 publications

(29 reference statements)

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“…The main cause seems to be the impairment of parathyroid blood supply subsequent to surgical manipulation. The possible causes are the excision of one or more parathyroid gland or an insufficiency of parathyroid blood supply subsequent to surgical manipulation [12,27]. The accidental parathyroid removal is a rare event, mainly due to an intrathyroidal or subcapsular parathyroid gland [28e30].…”

Section: Discussionmentioning

confidence: 99%

“…Several criteria have been invoked to explain the appearance of POHC. The surgeon's experience has been proposed as principal cause of this wide range of variability, but different conditions could be involved [10,12]. Several studies evaluate the surgical technique of ligation of inferior thyroid artery (ITA), but the choice between truncal and distal ligation of ITA branches remains still controversial [12e16].…”

Section: Introductionmentioning

confidence: 99%

“…It has been reported that truncal ligation of the ITA not influences the function of parathyroid glands after subtotal or total thyroidectomy [12,14e16] but we have no experiences concerning the other complications and sequelae associated with thyroid surgery, such as vocal fold palsy and voice and swallowing complaints. In a previous study performed at our institution [12] we investigated some changes, mainly biochemical, of the proximal ligation of ITA compared to the distal ligation of its branches. The aim of this prospective randomized study is to confirm the previous results and to evaluate a larger range of functions and symptoms that can be associated with both modalities of approach of the ITA.…”

Section: Introductionmentioning

confidence: 99%

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Terminal or truncal ligation of the inferior thyroid artery during thyroidectomy? A prospective randomized trial

Scerrino

Profita

Amato

et al. 2016

International Journal of Surgery

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a b s t r a c tIntroduction: Thyroidectomy is a common procedure in general and endocrine surgery. The technique of ligation of inferior thyroid artery (ITA) has been invoked as a possible cause of appearance of postoperative hypocalcemia. Methods: We performed a prospective randomized study involving 184 patients undergoing total thyroidectomy to evaluate the differences of truncal ligation versus distal ligation of ITA in terms of postoperative hypocalcemia, vocal fold palsy, voice and swallowing impairment. The patients were divided into group A (trunk ligation of ITA) and group B (terminal branches ligation of ITA). Results: We evaluated postoperative PTH and calcemia (immediate, 6 and 12 months after thyroidectomy), postoperative day of discontinuation of calcium and vitamin D supplementation, voice and swallowing complaints, evaluated by mean of two specific tests available in literature, day of hospital discharge. Conclusion:The only significant differences between the two groups were a higher immediate postoperative calcemia and a greater number of patients discharged without calcium and vitamin-D supplementation in the group B. In conclusion, no substantial differences were found between the two groups. The choice depends on the experience of the surgeon.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Terminal or truncal ligation of the inferior thyroid artery during thyroidectomy? A prospective randomized trial

Scerrino

Profita

Amato

et al. 2016

International Journal of Surgery

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“…The mean hospital stay was 2,8 ± 0,63 days in robotic group and 3 ± 0,67 days in laparoscopic group with no significative differences. The followup (19,20) consisted of medical history on urinary symptoms, questionnaire on quality of life, visual pain scale, clinical monitoring including physical examination (with reference to the POP-Q system) and an assessment of the post-void residual. There was no recurrence after 6 months for both groups.…”

Section: Resultsmentioning

confidence: 99%

Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study

Cucinella¹,

Calagna²,

Buono³

et al. 2016

GCHIR

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The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. This is a fairly frequent pathological condition. It is estimated that in her life 1/10 women undergoes a hysterectomy and up to 10% of these requiring surgical correction of apical prolapse (1). The standard treatment for surgical management of apical prolapse is abdominal sacrocolpopexy (ASC) (2). The progress made in the field of laparoscopic surgery in the past decades and the numerous literature reports that confirmed the considerable advantages respect to abdominal open surgery, allowed the spread of laparoscopic sacrocolpopexy (LSC). The technique was introduced in 1994 by Nezhat, integrating the experience of open conventional surgery with the advantages of minimally invasive approach, in order to minimize morbidity and accelerating the recovery of patients (3). Today, the LSC can be considered the standard treatment for apical prolapse. Several studies over the years have compared the laparoscopic approach with the open abdominal surgery. LSC is associated with less intra-operative blood loss, reduction in post-operative pain and a shorter hospital stay (4). Currently, with reference to minimally invasive surgery the most advanced and sophisticated tool available is the DaVinci Surgical System (Intuitive Surgical Inc., Sunnyvale, California, USA). The robotic surgical systems have been developed with the aim of facilitating the technically difficult procedures: the 3D-HD vision system, the use of a dedicated console and instruments with great flexibility and precision of the movements, also allow the execution of the most complex surgical maneuvers, acheiving excellent results. In the last years, several surgical operations were performed with robotic system, like robotic-assisted sacral colpopexy SUMMARY: Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study.

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“…These surgical procedures should to be performed by a surgical team experienced in general, gynaecological, adrenal and urological laparoscopic surgery also in urgency setting because we well know the possible intraoperative complications of this kind of surgery as bowel, bladder, ureteric and vascular injuries (29)(30)(31)(32)(33)(34)(35).…”

confidence: 99%

Renal endometriosis mimicking complicated cysts of kidney: report of two cases

Giambelluca¹

2017

GHIR

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Terminal ligature of inferior thyroid artery branches during total thyroidectomy for multinodular goiter is associated with higher postoperative calcium and PTH levels

Cited by 26 publications

References 25 publications

Terminal or truncal ligation of the inferior thyroid artery during thyroidectomy? A prospective randomized trial

Terminal or truncal ligation of the inferior thyroid artery during thyroidectomy? A prospective randomized trial

Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study

Renal endometriosis mimicking complicated cysts of kidney: report of two cases

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