ECE2014 Poster Presentations Clinical case reports Thyroid/Others (72 abstracts)
Functional results of inadvertent parathyroid excision during thyroid surgery
Viktor Makarin , Alexandr Bubnov , Yuriy Fedotov , Roman Chernikov , Ilya Sleptsov , Vladimir Rusakov , Arseniy Semenov , Igor Chinchuk , Natalya Timofeeva , Konstantin Novokshonov , Ulia Karelina , Anna Uspenskaya , Elisey Fedorov , Alex Kulash , Sergey Vorobev , Polina Ivanova , Olga Cheverda , Elisaveta Bichenkova & Masha Isheiskaya
Pirogov Medical Center, Saint-Petersburg, Russia.
Background: Unintented parathyroidectomy during thyroid surgery – is one of typical complications, especially when an operation is augmented by lymphodissection. In this work, we present the results of calcium metabolism analysis in such patients.
Subjects and methods: 3929 operations of patients with different thyroid diseases were performed during 2010–2012 years. 82 inadvertently excised parathyroid glands were revealed at histological examination (2.1% of all thyroid surgeries). We followed up serum calcium level each month in this group of patients.
Results: Out of 82 patients 24 (29.3%) had follicular adenomas at histological examination, 46 (56.1%) – papillary carcinomas, 2 (2.4%) – medullary carcinomas, 3 (3.7%) – follicular carcinomas, 7 (8.5%) – diffuse toxic goiter. Lobectomies were performed in 19 (23.2%) patients, thyroidectomies in 59 (71.9%) patients, central lymphodissections in 4 (6.1%) patients. One parathyroid gland was unintentionally excised in 77 (93.9%) of cases, two glands – in 5 (6.1%) cases. Postoperative hypocalcemia appeared in 33 (40.2%) patients and it lasts more than 6 months in 15 (18.2%) patients.
Conclusions: These results suggest that parathyroid injury during thyroid surgery remains a serious problem, and hypocalcemia may develop even if one parathyroid gland is excised.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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