The Effect of Incidental Parathyroidectomy on Hypocalcemia in Benign and Malignant Thyroid Patients

Authors : Oğuz CATAL, Bahri ÖZER, Mustafa SİT, Songül PELTEK ÖZER

Pages : 69-73

Doi:10.19127/mbsjohs.869279

View : 20 | Download : 10

Publication Date : 2021-04-30

Article Type : Research Paper

Abstract :Objective: Hypocalcemia is characterized by clinical findings resulting from a decrease in serum calcium insert ignore into journalissuearticles values(Ca2+); and many etiological factors may cause this condition. The most common cause of postoperative hypocalcemia is hypoparathyroidism and the most frequent complication that occurs after thyroid surgery is hypocalcemia. We aimed to investigate the effect of incidental parathyroidectomy on postoperative early hypocalcemia in patients after thyroid surgery. Methods: Retrospectively analyzed the data of patients who underwent thyroidectomy in General Surgery Department of Abant Izzet Baysal University between January 2009 and December 2018. Age, gender, serum Ca2+ and parathormone insert ignore into journalissuearticles values(PTH); levels were obtained. The histopathological results of thyroidectomy materials were grouped as benign insert ignore into journalissuearticles values(Group 1); and malignant insert ignore into journalissuearticles values(Group 2);. Results: The study population was consisted of 3841 patients. 3154 patients were in group 1 and 687 patients were in group 2. The postoperative average serum Ca2+ levels of group 1 and 2 were 8.50 mg/dl insert ignore into journalissuearticles values(6.80-9.80); and 8,50 mg/dl insert ignore into journalissuearticles values(6.80-9.80);, respectively insert ignore into journalissuearticles values(p=0.996);. Postoperative PTH levels of group 1 and 2 were 44.5 ng/l insert ignore into journalissuearticles values(0-65); and 44.5 ng/l insert ignore into journalissuearticles values(0-65);, respectively insert ignore into journalissuearticles values(p=0.979);. Overall postoperative hypocalcemia insert ignore into journalissuearticles values(8.4 mg/dL); was observed in 1742 insert ignore into journalissuearticles values(45.4%); patients. There was no difference in Ca2+ and PTH levels between group 1 and group 2. Incidental parathyroidectomy insert ignore into journalissuearticles values(%5.4); was performed in 209 of total study population who underwent thyroidectomy. 155 insert ignore into journalissuearticles values(4.9%); and 54 insert ignore into journalissuearticles values(7.9%); of the patients in groups 1 and 2, respectively and the incidental parathyroidectomy rates of the groups were statistically different insert ignore into journalissuearticles values(p=0.02);. Conclusion: We think that incidental parathyroidectomy does not stimulate the development of postoperative hypocalcemia.
Keywords : Thyroidectomy, Parathyroidectomy, Incidental, Hypocalcemia, Hypoparathyroidism