In situ parathyroid gland blood supply preservation and parathyroid autotrausplantation during total or near total thyroidectomy
- VernacularTitle:原位保留甲状旁腺血供及甲状旁腺自体移植术
- Author:
Yigong LI
;
Ming GAO
;
Xiangqian ZHENG
;
Yang YU
;
Songfeng WEI
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Hypoparathyroidism;
Parathyroid autotransplantation;
Vascularized parathyroid gland reservation
- From:
Chinese Journal of General Surgery
2008;23(8):603-605
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the processes of vascularized parathyroid gland reservation and parathyroid autotransplantation applied in thyroidectomy. Methods In 46 cases who underwent total/near total thyroidectomy, in situ vascularized parathyroid gland reservation was performed in 24 cases,isolated parathyroid autotransplantation was performed in 5 cases, in situ vascularized parathyroid gland reservation of 1～2 parathyroid glands combined with immediately transplantation of the remaining isolated parathyroid glands were performed in 17 cases. Results Five cases suffered from transient hypocalcaemia, including 2 cases of vascularized parathyroid gland reservation and 3 cases of vascularized parathyroid gland reservation in 1～2 parathyroid glands combined with immediately transplantation of other parathyroid glands. Two cases who received parathyroid autotransplantation suffered from hypocalcaemia and received conservative treatment with activated vitamin D3 and caleium for 4 weeks or 8 weeks. Permanent hypoparathyroidism occurred in 1 case of 46 cases which undergone the total/near total thyroidectomy(2.2%). Conclusion Application of vascularized parathyroid gland reservation and parathyroid autotransplantation in total/near total thyroidectomy could reduce the incidence rate of post-operative hypoparathyroidism.
