Association between number of parathyroid glands identified during total thyroidectomy and functional parathyroid preservation.

ABSTRACT:

Purpose

Systematic identification of all 4 parathyroid glands has been recommended during total thyroidectomy (TT); however, it is unclear whether this strategy necessarily translates into optimized functional parathyroid preservation. We wished to investigate the association between number of parathyroids identified intraoperatively during TT, and incidence of incidental parathyroidectomy, and postoperative hypoparathyroidism.

Methods

Retrospective review of prospectively maintained database of 511 consecutive patients undergoing TT at an academic teaching hospital. The association between number of parathyroid glands identified intraoperatively and incidence of biochemical hypocalcaemia (defined as any calcium < 2 mmol/L n first 48 h after surgery), symptomatic hypocalcaem

SUBMITTER: Riordan F 

PROVIDER: S-EPMC8847165 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature