Dissection and identification of parathyroid glands during thyroidectomy: Association with hypocalcemia
Background The purpose of this study was to evaluate preoperative features, surgical details, and postoperative findings related to the identification of parathyroid glands and to establish the relationship between identification of parathyroid glands and postoperative hypocalcemia. Methods Seven hu...
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| Veröffentlicht in: | Head & neck 2015-03, Vol.37 (3), p.393-399 |
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| creator | Praženica, Pavol O'Keeffe, Leonard Holý, Richard |
| description | Background
The purpose of this study was to evaluate preoperative features, surgical details, and postoperative findings related to the identification of parathyroid glands and to establish the relationship between identification of parathyroid glands and postoperative hypocalcemia.
Methods
Seven hundred eighty‐eight total thyroidectomies performed between January 2002 and April 2012 by a single surgeon were studied. To evaluate the impact of parathyroid glands identification on study variables, patients were stratified into 2 study groups: group 1 with 0 to 2 parathyroid glands identified and group 2 with 3 to 4 parathyroid glands identified.
Results
Multivariate analysis identified younger age (p = .007), female sex (p = .001), and no usage of the Biclamp hemostatic technique (p < .001) related to the higher number of parathyroid glands identified. Univariate analysis revealed a higher incidence of temporary hypocalcemia (p = .015) and permanent hypoparathyroidism (p = .040) in group 2 than in group 1.
Conclusion
Identification of a higher number of parathyroid glands is associated with a higher incidence of postoperative temporary hypocalcemia and permanent hypoparathyroidism. © 2014 Wiley Periodicals, Inc. Head Neck 37: 393–399, 2015 |
| doi_str_mv | 10.1002/hed.23613 |
| format | Article |
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The purpose of this study was to evaluate preoperative features, surgical details, and postoperative findings related to the identification of parathyroid glands and to establish the relationship between identification of parathyroid glands and postoperative hypocalcemia.
Methods
Seven hundred eighty‐eight total thyroidectomies performed between January 2002 and April 2012 by a single surgeon were studied. To evaluate the impact of parathyroid glands identification on study variables, patients were stratified into 2 study groups: group 1 with 0 to 2 parathyroid glands identified and group 2 with 3 to 4 parathyroid glands identified.
Results
Multivariate analysis identified younger age (p = .007), female sex (p = .001), and no usage of the Biclamp hemostatic technique (p < .001) related to the higher number of parathyroid glands identified. Univariate analysis revealed a higher incidence of temporary hypocalcemia (p = .015) and permanent hypoparathyroidism (p = .040) in group 2 than in group 1.
Conclusion
Identification of a higher number of parathyroid glands is associated with a higher incidence of postoperative temporary hypocalcemia and permanent hypoparathyroidism. © 2014 Wiley Periodicals, Inc. Head Neck 37: 393–399, 2015</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.23613</identifier><identifier>PMID: 24700518</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Analysis of Variance ; Cohort Studies ; Dissection ; Female ; Humans ; hypocalcemia ; Hypocalcemia - etiology ; Hypocalcemia - physiopathology ; identification ; Incidence ; incidental parathyroidectomy ; Logistic Models ; Male ; Middle Aged ; Monitoring, Intraoperative - methods ; Multivariate Analysis ; parathyroid gland ; Parathyroid Glands - abnormalities ; Parathyroid Glands - surgery ; Parathyroidectomy - adverse effects ; Parathyroidectomy - methods ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Prognosis ; Retrospective Studies ; Risk Assessment ; Sex Factors ; Statistics, Nonparametric ; Thyroidectomy - adverse effects ; Thyroidectomy - methods ; total thyroidectomy ; Treatment Outcome ; Young Adult</subject><ispartof>Head & neck, 2015-03, Vol.37 (3), p.393-399</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.23613$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.23613$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24700518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Praženica, Pavol</creatorcontrib><creatorcontrib>O'Keeffe, Leonard</creatorcontrib><creatorcontrib>Holý, Richard</creatorcontrib><title>Dissection and identification of parathyroid glands during thyroidectomy: Association with hypocalcemia</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
The purpose of this study was to evaluate preoperative features, surgical details, and postoperative findings related to the identification of parathyroid glands and to establish the relationship between identification of parathyroid glands and postoperative hypocalcemia.
Methods
Seven hundred eighty‐eight total thyroidectomies performed between January 2002 and April 2012 by a single surgeon were studied. To evaluate the impact of parathyroid glands identification on study variables, patients were stratified into 2 study groups: group 1 with 0 to 2 parathyroid glands identified and group 2 with 3 to 4 parathyroid glands identified.
Results
Multivariate analysis identified younger age (p = .007), female sex (p = .001), and no usage of the Biclamp hemostatic technique (p < .001) related to the higher number of parathyroid glands identified. Univariate analysis revealed a higher incidence of temporary hypocalcemia (p = .015) and permanent hypoparathyroidism (p = .040) in group 2 than in group 1.
Conclusion
Identification of a higher number of parathyroid glands is associated with a higher incidence of postoperative temporary hypocalcemia and permanent hypoparathyroidism. © 2014 Wiley Periodicals, Inc. Head Neck 37: 393–399, 2015</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Cohort Studies</subject><subject>Dissection</subject><subject>Female</subject><subject>Humans</subject><subject>hypocalcemia</subject><subject>Hypocalcemia - etiology</subject><subject>Hypocalcemia - physiopathology</subject><subject>identification</subject><subject>Incidence</subject><subject>incidental parathyroidectomy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Multivariate Analysis</subject><subject>parathyroid gland</subject><subject>Parathyroid Glands - abnormalities</subject><subject>Parathyroid Glands - surgery</subject><subject>Parathyroidectomy - adverse effects</subject><subject>Parathyroidectomy - methods</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Sex Factors</subject><subject>Statistics, Nonparametric</subject><subject>Thyroidectomy - adverse effects</subject><subject>Thyroidectomy - methods</subject><subject>total thyroidectomy</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1P3DAQhq2Kqny0h_6BKhIXLoEZO8kkvSGWAhJqVQlR1Ivl2N5d0yRe4kQ0_x7vBxx66cmj8fNYM34Z-4xwigD8bGnNKRcFinfsAKGiFERGe-s6E6kAyvbZYQiPACCKjH9g-zwjgBzLA7aYuRCsHpzvEtWZxBnbDW7utNq0_DxZqV4Ny6n3ziSLJjIhMWPvukWy60bbt9PX5DwEr93We3bDMllOK69Vo23r1Ef2fq6aYD_tziN29-3y7uI6vf1xdXNxfpu6jINIa22xRkGoCC1oHeekrKgN8LzQFQKvOREilobAWiVyI2qwgLWuCLUWR-xk--yq90-jDYNsXdC2iXNbPwaJBBWWVBbV_9Eiz4mLHNbo8T_oox_7Lu6xoTgiUBmpLztqrFtr5Kp3reon-frZETjbAs-usdPbPYJcpyhjinKTory-nG2KaKRbw4XB_n0zVP9HFiQol7--X8nZffn7obz_KR_EC8g6ngA</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Praženica, Pavol</creator><creator>O'Keeffe, Leonard</creator><creator>Holý, Richard</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Dissection and identification of parathyroid glands during thyroidectomy: Association with hypocalcemia</title><author>Praženica, Pavol ; O'Keeffe, Leonard ; Holý, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i4203-bce1b1371a71e0cc470746bd0256c9102b2771118d70eea35d3b0e01bc971cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Cohort Studies</topic><topic>Dissection</topic><topic>Female</topic><topic>Humans</topic><topic>hypocalcemia</topic><topic>Hypocalcemia - etiology</topic><topic>Hypocalcemia - physiopathology</topic><topic>identification</topic><topic>Incidence</topic><topic>incidental parathyroidectomy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Multivariate Analysis</topic><topic>parathyroid gland</topic><topic>Parathyroid Glands - abnormalities</topic><topic>Parathyroid Glands - surgery</topic><topic>Parathyroidectomy - adverse effects</topic><topic>Parathyroidectomy - methods</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Sex Factors</topic><topic>Statistics, Nonparametric</topic><topic>Thyroidectomy - adverse effects</topic><topic>Thyroidectomy - methods</topic><topic>total thyroidectomy</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Praženica, Pavol</creatorcontrib><creatorcontrib>O'Keeffe, Leonard</creatorcontrib><creatorcontrib>Holý, Richard</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Praženica, Pavol</au><au>O'Keeffe, Leonard</au><au>Holý, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dissection and identification of parathyroid glands during thyroidectomy: Association with hypocalcemia</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2015-03</date><risdate>2015</risdate><volume>37</volume><issue>3</issue><spage>393</spage><epage>399</epage><pages>393-399</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>Background
The purpose of this study was to evaluate preoperative features, surgical details, and postoperative findings related to the identification of parathyroid glands and to establish the relationship between identification of parathyroid glands and postoperative hypocalcemia.
Methods
Seven hundred eighty‐eight total thyroidectomies performed between January 2002 and April 2012 by a single surgeon were studied. To evaluate the impact of parathyroid glands identification on study variables, patients were stratified into 2 study groups: group 1 with 0 to 2 parathyroid glands identified and group 2 with 3 to 4 parathyroid glands identified.
Results
Multivariate analysis identified younger age (p = .007), female sex (p = .001), and no usage of the Biclamp hemostatic technique (p < .001) related to the higher number of parathyroid glands identified. Univariate analysis revealed a higher incidence of temporary hypocalcemia (p = .015) and permanent hypoparathyroidism (p = .040) in group 2 than in group 1.
Conclusion
Identification of a higher number of parathyroid glands is associated with a higher incidence of postoperative temporary hypocalcemia and permanent hypoparathyroidism. © 2014 Wiley Periodicals, Inc. Head Neck 37: 393–399, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24700518</pmid><doi>10.1002/hed.23613</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Age Factors Aged Aged, 80 and over Analysis of Variance Cohort Studies Dissection Female Humans hypocalcemia Hypocalcemia - etiology Hypocalcemia - physiopathology identification Incidence incidental parathyroidectomy Logistic Models Male Middle Aged Monitoring, Intraoperative - methods Multivariate Analysis parathyroid gland Parathyroid Glands - abnormalities Parathyroid Glands - surgery Parathyroidectomy - adverse effects Parathyroidectomy - methods Postoperative Complications - epidemiology Postoperative Complications - physiopathology Prognosis Retrospective Studies Risk Assessment Sex Factors Statistics, Nonparametric Thyroidectomy - adverse effects Thyroidectomy - methods total thyroidectomy Treatment Outcome Young Adult |
| title | Dissection and identification of parathyroid glands during thyroidectomy: Association with hypocalcemia |
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