Akademik Veri Yönetim Sistemi
Chirurgia (Turin), cilt.39, sa.1, ss.27-31, 2026 (ESCI, Scopus)
BACKGROUND: We investigated incidental parathyroidectomy in order to understand and reduce the risk of hypocalcemia due to hypoparathyroidism, which is one of the most common complications of total thyroidectomy, which is performed very frequently today. In this way, we aimed to shorten the discharge time of patients and increase their quality of life. METHODS: Between January 1, 2014, and January 1, 2020, all patients who underwent total thyroidectomy operation were retrospectively reviewed. In histopathological examination; 732 patients diagnosed with multinodular goiter, early micropapillary/papillary carcinoma were included in the study. Calcium and parathormone values were measured at 4-6 h after surgery. Patients with a corrected calcium value <8 mg/ dL were considered hypocalcemia. RESULTS: Among the 732 patients included in the study, including 166 males and 566 females aged between 18 and 87 years. Patients with incidental parathyroidectomy (N.=77/732 10.53%) constituted group 1 and patients without incidental parathyroidectomy (N.=655/732 89.47%) constituted group 2. Among the patients who underwent incidental parathyroidectomy, the location of the parathyroid gland was extracapsular (N.=55/77 71.43%), subcapsular (N.=11/77 14.29%), and intrathyroidal (N.=11/77 14.29%). Postoperative hypocalcemia was found in patients with incidental parathyroidectomy (N.=16/77 20.78%) and in patients without incidental parathyroidectomy (N.=51/655 7.54%) and a significant difference was found between the two groups (P<0.001). CONCLUSIONS: Incidental parathyroidectomy has been found to be a risk factor for transient hypocalcemia after total thyroidectomy. Therefore, a surgical technique that preserves the vascular structure of identifiable parathyroid glands should be applied during total thyroidectomy.