Abstract | BACKGROUND AND OBJECTIVES:
Thyroidectomy is a commonly performed procedure for thyroid problems. Inadvertent removal of the parathyroid glands is one of its recognized complications, which occurs more frequently in certain high-risk patients. The aim of this study was to identify the incidence, risk factors, and clinical relevance of incidental parathyroidectomy during thyroid surgery. DESIGN AND SETTING: A retrospective review of thyroid operations performed at a tertiary referral hospital between January 2004 and December 2008. METHODS: Pathology reports were reviewed to identify the specimens that included parathyroid tissue and underlying thyroid pathology. Postoperative calcium levels were reviewed in these patients. RESULTS: During the study period, 287 thyroidectomies were performed and 47 (16.4%) patients had incidentally removed parathyroid glands. Risk factors for inadvertent parathyroid resection included total thyroidectomy (P=.0001), Hashimoto thyroiditis (P=.004), and extrathyroidal spread (P=.0003). Postoperative hypocalcemia occurred in 18 (38.3%) of the patients in whom the parathyroid gland was removed inadvertently and in 48 (20%) of the rest of the patients (P=.0123). CONCLUSION:
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Authors | Gamal Ahmed Khairy, Abdulaziz Al-Saif |
Journal | Annals of Saudi medicine
(Ann Saudi Med)
2011 May-Jun
Vol. 31
Issue 3
Pg. 274-8
ISSN: 0975-4466 [Electronic] Saudi Arabia |
PMID | 21623057
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Calcium
(blood)
- Female
- Humans
- Hypocalcemia
(etiology)
- Incidence
- Intraoperative Complications
- Male
- Medical Errors
(statistics & numerical data)
- Middle Aged
- Parathyroidectomy
(statistics & numerical data)
- Retrospective Studies
- Risk Factors
- Thyroid Diseases
(physiopathology, surgery)
- Thyroidectomy
(adverse effects)
- Young Adult
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