Document Detail


Unintentional parathyroidectomy and hypoparathyroidism in secondary central compartment surgery for thyroid cancer.
MedLine Citation:
PMID:  19780055     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Unintentional parathyroidectomy is a complication of thyroid surgery. To our knowledge, no study has specifically examined the incidence of inadvertent parathyroidectomy exclusively in patients undergoing secondary central compartment surgery for recurrent or persistent thyroid cancer. METHODS: The records of 40 patients who underwent 42 secondary central compartment surgeries for thyroid cancer were reviewed to determine the incidence of inadvertent parathyroidectomy. RESULTS: Parathyroid tissue was present on permanent pathology in 31% of SCCSs. Unintentional parathyroidectomy did not have an effect on hypoparathyroidism. Concomitant lateral neck dissection did not have an effect on the incidence of hypoparathyroidism, but did have a statistically significant effect on inadvertent parathyroidectomy. CONCLUSION: Accidental resection of parathyroid tissue is relatively common in secondary central compartment surgery compared with primary thyroid surgery, but does not appear to correlate with postoperative hypoparathyroidism.
Authors:
Michael P Ondik; Johnathan McGinn; Francis Ruggiero; David Goldenberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  32     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-17     Completed Date:  2010-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  462-6     Citation Subset:  IM    
Affiliation:
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Penn State Hershey Medical Center, University School of Medicine, 500 University Drive, MCH091, Hershey, PA 17033-0850, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Cohort Studies
Female
Follow-Up Studies
Humans
Hypoparathyroidism / epidemiology,  etiology*,  physiopathology
Iatrogenic Disease*
Incidence
Intraoperative Complications / diagnosis,  epidemiology*
Male
Medical Errors / statistics & numerical data*
Middle Aged
Neck Dissection / adverse effects,  methods
Parathyroidectomy / adverse effects,  methods,  statistics & numerical data*
Postoperative Complications / diagnosis,  epidemiology
Probability
Retrospective Studies
Risk Assessment
Thyroid Neoplasms / pathology,  surgery*
Thyroidectomy / adverse effects*,  methods
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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