Evidence map›Paper›PMID 39823034›Full record

ArticleAnnals of surgical treatment and research2025

Investigation of the effect of perioperative parathyroid autotransplantation in incidental parathyroidectomy cases on the development of postoperative hypocalcemia: a retrospective observational study.

Metin Bozkaya, Ebru Menekşe, Hikmet Pehlevan Özel, Yasir Keçelioğlu, İbrahim Doğan

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Article in Annals of surgical treatment and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Metin BozkayaDepartment of General Surgery, Soma State Hospital, Soma, Türkiye.ORCID https://orcid.org/0000-0003-2490-6627
Ebru MenekşeDepartment of General Surgery, Ankara City Hospital, Ankara, Türkiye.ORCID https://orcid.org/0000-0003-2867-6128
Hikmet Pehlevan ÖzelDepartment of General Surgery, Mamak State Hospital, Ankara, Türkiye.ORCID https://orcid.org/0000-0002-9146-3742
Yasir KeçelioğluDepartment of General Surgery, Yeşilyurt Hasan Çalık State Hospital, Malatya, Türkiye.ORCID https://orcid.org/0000-0002-7561-1741
İbrahim DoğanDepartment of General Surgery, Başkale State Hospital, Van, Türkiye.ORCID https://orcid.org/0000-0001-7413-1837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: One of the most common and significant complications following thyroid surgery is postoperative hypocalcemia due to postoperative hypoparathyroidism. This study aimed to observe the effect of parathyroid gland autotransplantation on postoperative hypocalcemia in cases of incidental parathyroidectomy in total thyroidectomy cases. Methods: Patients who underwent bilateral total thyroidectomy surgery were retrospectively analyzed. Patients in the study population were divided into group A (no incidental parathyroidectomy), group B (incidental parathyroidectomy with no autotransplantation), and group C (incidental parathyroidectomy with autotransplantation). The patients' calcium levels on day 1, transient and permanent hypocalcemia times, time to return to normocalcemia, and surgery duration were examined. Results: A total of 647 patients meeting the research criteria were included in the study. Group A consisted of 443 patients (68.5%), group B consisted of 176 patients (27.2%), and group C consisted of 28 patients (4.3%). The rate of incidental parathyroidectomy in the entire patient population was 31.5% (n = 204). Transient and permanent hypocalcemia rates in the entire patient population were 27.7% (n = 178) and 0.6% (n = 4), respectively. It was observed that the frequency of day 1 hypocalcemia was higher in group B than in group C among incidental parathyroidectomy groups (P = 0.005). Furthermore, group B had a significantly higher frequency of transient hypocalcemia compared to group C (P = 0.006). There was no significant difference in terms of permanent hypocalcemia. Conclusion: This study showed that parathyroid gland autotransplantation reduces transient hypocalcemia in patients with 2 or fewer incidental parathyroids.

Indexed as

HypocalcemiaParathyroidectomyThyroidectomy

Identifiers

PMID39823034
PMCPMC11735169

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