| The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy. | |
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MedLine Citation:
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PMID: 11082219 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We prospectively studied the effects of the ligation of the inferior thyroid artery (ITA) on postoperative hypoparathyroidism in 48 patients who underwent functional subtotal thyroidectomy. Patients were randomized into two groups: A, with bilateral ligation of the ITA and B, without ligation of the ITA. Parathyroid function was checked preoperatively and after surgery by clinical examination and measurement of total calcium, intact PTH, urinary calcium, and AMPc. RESULTS: A significant incidence of postoperative hypocalcemia occurred: 17% in group A and 13% in B on the 4th postoperative day. Six months later, the incidence was 5% in Group A and 0% in Group B. These differences were not statistically significant between the two groups, and neither were any of the other clinical and laboratory observations. CONCLUSION: The ligation of the ITA was not an important causal factor for the occurrence of postoperative hypocalcemia after subtotal thyroidectomy. |
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Authors:
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Araujo Filho VJ; Silva Filho GB; L G Brandão; L R Santos; A R Ferraz |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Revista do Hospital das Clínicas Volume: 55 ISSN: 0041-8781 ISO Abbreviation: Rev Hosp Clin Fac Med Sao Paulo Publication Date: 2000 Jul-Aug |
Date Detail:
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Created Date: 2001-03-14 Completed Date: 2001-05-03 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0415246 Medline TA: Rev Hosp Clin Fac Med Sao Paulo Country: Brazil |
Other Details:
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Languages: eng Pagination: 113-20 Citation Subset: IM |
Affiliation:
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Department of Head and Neck Surgery, Hospital das Clinicas, Faculty of Medicine, University of Sao Paulo. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteries / surgery Calcium / blood, urine Cyclic AMP / urine Female Graves Disease / surgery* Humans Hypocalcemia / etiology* Ligation Male Parathyroid Glands / physiopathology* Parathyroid Hormone / blood Postoperative Period Prospective Studies Thyroid Gland / blood supply* Thyroidectomy / adverse effects, methods* |
| Chemical | |
Reg. No./Substance:
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0/Parathyroid Hormone; 60-92-4/Cyclic AMP; 7440-70-2/Calcium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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