Recognition and protection of the parathyroid in thyroid carcinoma operation
10.3760/cma.j.issn.1673-4203.2015.02.010
- VernacularTitle:甲状腺癌手术中甲状旁腺的识别和保护
- Author:
Ning ZHAO
;
Changsheng TENG
- Publication Type:Journal Article
- Keywords:
Thyroid carcinoma;
Total thyroidectomy;
Parathyroid protection;
Postoperative hypocalcemia
- From:
International Journal of Surgery
2015;42(2):105-108,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the protection of the parathyroid in thyroid cancer operation,reduce the postoperative complications of hypoparathyroidism.Methods Selected 107 cases of thyroid cancer patients from Mar.2013 to Fed.2014 who were underwent thyroid total excision + Ⅵ lymphadenectomy.Identified and preserve in situ of parathyroid according to the typical appearance.Identified the parathyroid on the surface of thyroid and Ⅵ lymph node specimen carefully.Sented a part of the suspected tissue to intraoperative frozen section examination,transplant residual tissue to stemocleidomastoid muscle after confirmed.According to postoperative pathological diagnosis,determined the specimen of thyroid and Ⅵ lymph node with or without removed parathyroid.Monitored serum calcium and symptomatic treatment for 1 to 3 days after operation.Results Error cut rate of parathyroid was 11.4％.In vitro parathyroid autograft rate was 54.4％.Hypocalcemia occurred in 32.7％.Symptomatic hypocalcemia occurred in 16.8％.Permanent hypocalcemia did not happen.Conclusions In thyroid cancer operation,accurate identification of parathyroid is the precondition of preservation in situ and self transplantation,is the effective methods to reduce error removal and decrease postoperative hypocalcemia.
