Preservation of parathyroid during the thyroidectomy.

Haidong Zhang; Shanchun Gong; Yaqun Liu; Qingxiang Zhang; Zhenkun YU

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Preservation of parathyroid during the thyroidectomy.

Author: Haidong ZHANG ¹ ; Shanchun GONG ¹ ; Yaqun LIU ¹ ; Qingxiang ZHANG ¹ ; Zhenkun YU ²
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1. Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China.
2. Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China. Email: yuzk@njtrh.org.
Publication Type:Journal Article
MeSH: Biomedical Research; Humans; Hypoparathyroidism; surgery; Parathyroid Glands; Postoperative Period; Thyroid Diseases; Thyroidectomy; methods; Transplantation, Autologous
From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2014;49(11):889-892
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo investigate the protection of the parathyroid in the total thyroidectomy to avoid the postoperative permanent hypoparathyroidism.
METHODSForty-three consecutive cases underwent total thyroidectomy from June 2013 to June 2014 in Nanjing Tongren Hospital were reviewed. Of them 26 cases with malignant and 17 cases with benign thyroid diseases.
RESULTSIntraoperatively, all 4 parathyroid glands were identified in 27 cases, 3 parathyroids in 10 cases and 2 parathyroids in 6 cases. Intraoperative parathyroid transplantation was performed in 6 cases, including 5 cases with 1 parathyroid transplantation and 1 case with 2 parathyroid transplantation. With the follow-up of 1-3 months after surgery, 10 cases presented with transient hypocalcemia, 8 cases with temporary hypoparathyroidism and no case with permanent hypoparathyroidism.
CONCLUSIONAccurate identification and conservation in situ or auto-transplantation in total thyroidectomy could be effective for prevention of postoperative permanent hypoparathyroidism.