Bünyami ÖZOĞUL, Müfide Nuran AKÇAY, Abdullah KISAOĞLU

Incidental parathyroidectomy during thyroid surgery: risk factors, incidence, and outcomes

Incidental removal of the parathyroid glands is common in some cases. In this trial, we investigated the risk factors, incidence, and outcomes associated with incidental excision of the parathyroid glands during thyroid surgery. Materials and methods: The records of patients who had undergone thyroid surgery in our department between January 2006 and December 2011 were retrospectively evaluated. Results: A total of 801 patients were enrolled in the trial. The number of incidental parathyroidectomies was determined as 19 (2.3%). Statistical evaluation revealed that sex (P > 0.05) and type of surgical operation (P > 0.05) were not associated with a significant impact on incidental parathyroidectomies. However, the rate of incidental parathyroidectomies was determined to be statistically significantly high among patients with malignant conditions (P < 0.05). Hypocalcemia was observed to be statistically significant in patients with an incidental parathyroidectomy (P < 0.05). Conclusion: Incidental parathyroidectomy is a rare condition in centers specializing in endocrine surgery. Furthermore, the parathyroid glands should always be explored during dissection in patients with malignancies. The clinical manifestation of hypocalcemia is a common condition observed after incidental parathyroidectomy.

Anahtar Kelimeler:

Key words: Incidental parathyroidectomy, thyroid surgery

Incidental parathyroidectomy during thyroid surgery: risk factors, incidence, and outcomes

Keywords:

thyroid surgery Incidental, parathyroidectomy,

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Abboud B. Topographic anatomy and arterial vascularization of the parathyroid glands: practical application. Presse Med 1996; 25: 1156–1161.
Raffaelli M, De Crea C, Sessa L, Giustacchini P, Revelli L, Bellantone C, Lombardi CP. Prospective evaluation of total thyroidectomy versus ipsilateral versus bilateral central neck dissection in patients with clinically node-negative papillary thyroid carcinoma. Surgery 2012; 152: 957–964.
Kupferman ME, Mandel SJ, DiDonato L, Wolf P, Weber RS. Safety of completion thyroidectomy following unilateral lobectomy for well- differentiated thyroid cancer. Laryngoscope 2002; 112: 1209–1212.
Loré JM, Pruet CW. Retrieval of the parathyroid glands during thyroidectomy. Head Neck Surg 1983; 5: 268–269.
Udelsman R, Chen H. The current management of thyroid cancer. Adv Surg 1999; 33: 1–27.
Campos NS, Cardoso LP, Tanios RT, Oliveira BC, Guimarães AV, Dedivitis RA, Marcopito LF. Risk factors for incidental parathyroidectomy during thyroidectomy. Braz J Otorhinolaryngol 2012; 78: 57–61.
Sasson AR, Pingpank JF Jr, Wetherington RW, Hanlon AL, Ridge JA. Incidental parathyroidectomy during thyroid surgery does not cause transient symptomatic hypocalcemia. Arch Otolaryn gol Head Neck Surg 2001; 127: 304–308.
Youssef T, Gaballah G, Abd-Elaal E, El-Dosoky E. Assessment of risk factors of incidental parathyroidectomy during thyroid surgery: a prospective study. Int J Surg 2010; 8: 207–211.
Yalçın S, Ülger BV, Parlak Ö, Uçar AE, Sarıkaya SM, Özer M, Korukluoğlu B, Yalçın B, Kuşdemir A. The role of preoperative serum thyroglobulin and thyroid auto-antibody levels before histopathological diagnosis of thyroid cancers. Turk J Med Sci 2011; 41: 487–493.
Khairy GA, Al-Saif A. Incidental parathyroidectomy during thyroid resection: incidence, risk factors, and outcome. Ann Saudi Med 2011; 31: 274–278.
Sippel RS, Özgül Ö, Hartig GK, Mack EA, Chen H. Risks and consequences of incidental parathyroidectomy during thyroid resection. ANZ J Surg 2007; 77: 33–36.
Lin DT, Patel SG, Shaha AR, Singh B, Shah JP. Incidence of inadvertent parathyroid removal during thyroidectomy. Laryn goscope 2002; 112: 608–611.
Asari R, Passler C, Kaczirek K, Scheuba C, Niederle B. Hypoparathyroidism after total thyroidectomy. Arch Surg 2008; 143: 132–137.
Spiliotis J, Vaxevanidou A, Sergouniotis F, Tsiveriotis K, Datsis A, Rogdakis A, Kekelos S. Risk factors and consequences of incidental parathyroidectomy during thyroidectomy. Am Surg 2010; 76: 436–441.
Olson JA Jr, DeBenedetti MK, Baumann DS, Wells SA Jr. Para- thyroid autotransplantation during thyroidectomy. Results of long-term follow-up. Ann Surg 1996; 223: 472–478.
Manouras A, Markogiannakis H, Lagoudianakis E, Antonakis P, Genetzakis M, Papadima A, Konstantoulaki E, Papanikolaou D, Kekis P. Unintentional parathyroidectomy during total thyroidectomy. Head Neck 2008;30: 497–502.