ArticleNorthern clinics of Istanbul2016
Factors affecting postoperative hypocalcemia after thyroid surgery: Importance of incidental parathyroidectomy.
Article in Northern clinics of Istanbul, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk factors and outcomes of incidental parathyroidectomy in thyroidectomy: A systematic review and meta-analysis.PloS one · 2018Pooled it
- Article
- Betamethasone to prevent hypocalcemia and other complications after total thyroidectomy: A retrospective case-control study.Turkish journal of surgery · 2026Article
- Incidence and Risk Factors for Post-Thyroidectomy Hypocalcemia:Saudi medical journal · 2026Article
- Identification of Parathyroid Glands Through Near-Infrared Autofluorescence During Thyroid Surgery: Retrospective Analysis of the Impact on Post-Operative Hypocalcemia Rate Reduction and Potential Improvement of Healthcare Expenditure.Medicina (Kaunas, Lithuania) · 2025Article
- Clinical significance and risk factors of incidental parathyroidectomy after total thyroidectomy.Endocrine · 2025Article
- Factors affecting the rates of incidental parathyroidectomy during thyroidectomy.Annals of the Royal College of Surgeons of England · 2024Article
- The analysis of risk factors for accidental parathyroid resection during thyroid surgery: a retrospective analysis of 1775 patients.Surgery today · 2023Article
- PTH after Thyroidectomy as a Predictor of Post-Operative Hypocalcemia.Diagnostics (Basel, Switzerland) · 2021Article
- Role of perioperative parathormone hormone level assay after total thyroidectomy as a predictor of transient and permanent hypocalcemia: Prospective study.Annals of medicine and surgery (2012) · 2021Article
- Article
- Postoperative hypocalcemia: analysis of factors influencing early hypocalcemia development following thyroid surgery.BMC surgery · 2019Article
- Effect of nerve monitoring on complications of thyroid surgery.Northern clinics of Istanbul · 2018Article
- INCIDENTAL PARATHYROIDECTOMY DURING THYROID SURGERY - RISK, PREVENTION AND CONTROVERSIES; AN EVIDENCE-BASED REVIEW.Acta endocrinologica (Bucharest, Romania : 2005)Article
- Predicting transient hypocalcemia in patients with unplanned parathyroidectomy after thyroidectomy.American journal of otolaryngologyArticle
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveThe present study evaluated effects of incidental parathyroidectomy, surgical technique, and presence of thyroiditis or hyperthyroidism on occurrence of postoperative persistent or transient hypocalcemia.
methodsPatients who underwent thyroidectomy at İstanbul Medeniyet University between 2013 and 2015 were included in the study. Patient information, postoperative serum calcium levels, and pathology reports were investigated retrospectively. Group 1 was made up of patients who were found to have hypocalcemia (calcium ≤8.5 mg/dL) according to postoperative serum level and normocalcemic patients were placed in Group 2. Groups were compared statistically in terms of rate of incidental parathyroidectomy, surgical technique, and presence of thyroiditis or hyperthyroidism.
resultsMean age was 49.8±12.8 years (range: 20-88). A total of 417 patients were included in the study, 74 (17.7%) were male and 343 (82.3%) were female. Group 1 consisted of 205 (49.2%) patients who had hypocalcemia according to postoperative serum level, and remaining 212 (50.8%) patients were placed in Group 2. In Group 1, 38 (18.5%) patients had incidental parathyroidectomy, and with only 18 (8.5%) patients in Group 2, a statistically significant relationship was found between incidental parathyroidectomy and hypocalcemia (p=0.003). There was no statistically significant difference in terms of presence of thyroiditis or hyperthyroidism between groups. There was statistically significant decrease in postoperative hypocalcemia rate in patients with lobectomy compared to patients with bilateral total thyroidectomy or central neck dissection (p<0.01).
conclusionRisk of postoperative hypocalcemia may be reduced with lobectomy for selected patients. In addition, delicate dissection during thyroidectomy is important in order to protect parathyroid glands and prevent hypocalcemia.
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