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Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery

Background: Incidental parathyroidectomy with subsequent hypoparathyroidism and postoperative hypocalcemia is thought to be one of the common complications of thyroidectomy. Current literature reports wide discrepancy in incidence and risk factors. Objectives: The aim of our study was to evaluate th...

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Autores principales: Alraddadi, Thamer, Aldhahri, Saleh, Almayouf, Mohammad, Alharbi, Jabir, Malas, Moayyad, Nasrullah, Muhammad, Al-Qahtani, Khalid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988722/
https://www.ncbi.nlm.nih.gov/pubmed/32025436
http://dx.doi.org/10.7759/cureus.6517
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author Alraddadi, Thamer
Aldhahri, Saleh
Almayouf, Mohammad
Alharbi, Jabir
Malas, Moayyad
Nasrullah, Muhammad
Al-Qahtani, Khalid
author_facet Alraddadi, Thamer
Aldhahri, Saleh
Almayouf, Mohammad
Alharbi, Jabir
Malas, Moayyad
Nasrullah, Muhammad
Al-Qahtani, Khalid
author_sort Alraddadi, Thamer
collection PubMed
description Background: Incidental parathyroidectomy with subsequent hypoparathyroidism and postoperative hypocalcemia is thought to be one of the common complications of thyroidectomy. Current literature reports wide discrepancy in incidence and risk factors. Objectives: The aim of our study was to evaluate the incidence and risk factors of incidental parathyroidectomy in thyroid surgery. Methods: A retrospective study included 270 patients who had thyroid surgery that was performed over two years from January 2017 to December 2018 in two tertiary care hospitals. Preoperative and postoperative records were assessed. Factors such as gender, diagnosis, type of surgery, and usage of surgical loupes during the procedure were evaluated and were compared to find the association with incidental parathyroidectomy in thyroid surgery. Results: Incidental parathyroidectomy was noticed in 62 (23%) surgical specimens during histopathologic examination. There was no significant association between incidental parathyroidectomy and sex of patient, use of surgical loupes, pathology of thyroid disease, or neck dissection. Conclusion: Although the risk of incidental parathyroidectomy is inevitable, careful dissection and meticulous intraoperative identification of parathyroid gland during thyroidectomy can reduce the incidence of incidental parathyroidectomy, thereby minimizing the risk of postoperative hypoparathyroidism and hypocalcemia.
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spelling pubmed-69887222020-02-05 Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery Alraddadi, Thamer Aldhahri, Saleh Almayouf, Mohammad Alharbi, Jabir Malas, Moayyad Nasrullah, Muhammad Al-Qahtani, Khalid Cureus Endocrinology/Diabetes/Metabolism Background: Incidental parathyroidectomy with subsequent hypoparathyroidism and postoperative hypocalcemia is thought to be one of the common complications of thyroidectomy. Current literature reports wide discrepancy in incidence and risk factors. Objectives: The aim of our study was to evaluate the incidence and risk factors of incidental parathyroidectomy in thyroid surgery. Methods: A retrospective study included 270 patients who had thyroid surgery that was performed over two years from January 2017 to December 2018 in two tertiary care hospitals. Preoperative and postoperative records were assessed. Factors such as gender, diagnosis, type of surgery, and usage of surgical loupes during the procedure were evaluated and were compared to find the association with incidental parathyroidectomy in thyroid surgery. Results: Incidental parathyroidectomy was noticed in 62 (23%) surgical specimens during histopathologic examination. There was no significant association between incidental parathyroidectomy and sex of patient, use of surgical loupes, pathology of thyroid disease, or neck dissection. Conclusion: Although the risk of incidental parathyroidectomy is inevitable, careful dissection and meticulous intraoperative identification of parathyroid gland during thyroidectomy can reduce the incidence of incidental parathyroidectomy, thereby minimizing the risk of postoperative hypoparathyroidism and hypocalcemia. Cureus 2019-12-30 /pmc/articles/PMC6988722/ /pubmed/32025436 http://dx.doi.org/10.7759/cureus.6517 Text en Copyright © 2019, Alraddadi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Alraddadi, Thamer
Aldhahri, Saleh
Almayouf, Mohammad
Alharbi, Jabir
Malas, Moayyad
Nasrullah, Muhammad
Al-Qahtani, Khalid
Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery
title Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery
title_full Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery
title_fullStr Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery
title_full_unstemmed Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery
title_short Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery
title_sort risk factors of incidental parathyroidecomy in thyroid surgery
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988722/
https://www.ncbi.nlm.nih.gov/pubmed/32025436
http://dx.doi.org/10.7759/cureus.6517
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