The American Journal of Surgery
Volume 197, Issue 4 , Pages 439-446 , April 2009

The impact of age, vitamin D3 level, and incidental parathyroidectomy on postoperative hypocalcemia after total or near total thyroidectomy

  • Yeşim Erbil, M.D.

      Affiliations

    • Department of General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • Corresponding Author InformationCorresponding author. Tel.: +90 212 5331784; fax: +90 212 6319771
    • ,
  • Umut Barbaros, M.D.

      Affiliations

    • Department of General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • ,
  • Berna Temel, M.D.

      Affiliations

    • Department of Endocrinology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • ,
  • Umit Turkoglu, M.D.

      Affiliations

    • Department of Biochemistry, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • ,
  • Halim İşsever, Ph.D.

      Affiliations

    • Department of Health Public, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • ,
  • Alp Bozbora, M.D.

      Affiliations

    • Department of General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • ,
  • Selçuk Özarmağan, M.D.

      Affiliations

    • Department of General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
    • ,
  • Serdar Tezelman, M.D.

      Affiliations

    • Department of General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey

Received 23 November 2007 ,Revised 4 January 2008

References 

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  6. Abboud B, Sargi Z, Akkam M, et al. Risk factors for postthyroidectomy hypocalcemia. J Am Coll Surg. 2002;195:456–461
  7. Demeester-Mirkine N, Hooghe L, Van Geertruyden J, et al. Hypocalcemia after thyroidectomy. Arch Surg. 1992;127:854–858
  8. Reeve T, Thompson NW. Complications of thyroid surgery: how to avoid them, how to manage them, and observations on their possible effect on the whole patient. World J Surg. 2000;24:971–975
  9. Rosato L, Avenia N, Bernante P, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg. 2004;28:271–276
  10. Thomusch O, Machens A, Sekulla C, et al. Multivariate analysis of risk factors for postoperative complications in benign goiter surgery: prospective multicenter study in Germany. World J Surg. 2000;24:1335–1341
  11. Sakorafas GH, Stafyla V, Bramis C, et al. Incidental parathyroidectomy during thyroid surgery: an underappreciated complication of thyroidectomy. World J Surg. 2005;29:1539–1543
  12. Gourgiotis S, Moustafellos P, Dimopoulos N, et al. Inadvertent parathyroidectomy during thyroid surgery: the incidence of a complication of thyroidectomy. Langenbecks Arch Surg. 2006;391:557–560
  13. Sasson AR, Pingpank JF, Wetherington RW, et al. Incidental parathyroidectomy during thyroid surgery does not cause transient symptomatic hypocalcemia. Arch Otolaryngol Head Neck Surg. 2001;127:304–308
  14. Lin DT, Patel SG, Shaha AR, et al. Incidence of inadvertent parathyroid removal during thyroidectomy. Laryngoscope. 2002;112:608–611
  15. Hickey L, Gordon CM. Vitamin D deficiency: new perpectives on an old disease. Curr Opin Endocrinol Metab. 2004;11:18–25
  16. Heaney RP, Weaver CM. Calcium and vitamin D. Endocrinol Metab Clin North Am. 2003;32:181–194
  17. Heaney RP. Vitamin D, nutritional deficiency, and the medical paradigm. J Clin Endocrinol Metab. 2003;88:5107–5108
  18. Atli T, Gullu S, Uysal AR, et al. The prevalence of vitamin D deficiency and effects of ultraviolet light on vitamin D levels in elderly Turkish population. Arch Gerontol Geriatr. 2005;40:53–60
  19. Alagol F, Shihadeh Y, Boztepe H, et al. Sunlight exposure and vitamin D deficiency in Turkish women. J Endocrinol Invest. 2000;23:173–177
  20. Tartaglia F, Giuliani A, Sgueglia M, et al. Randomized study on oral administration of calcitriol to prevent symptomatic hypocalcemia after total thyroidectomy. Am J Surg. 2005;190:424–429
  21. Bellantone R, Lombardi CP, Raffaelli M, et al. Is routine supplementation therapy (calcium and vitamin D) useful after total thyroidectomy?. Surgery. 2002;132:1109–1112
  22. Cahill RA, Harty R, Cotter S, et al. Parathormone response to thyroid surgery. Am J Surg. 2006;191:453–459
  23. McLeod IK, Arciero C, Noordzij JP, et al. The use of rapid parathyroid hormone assay in predicting postoperative hypocalcemia after total or completion thyroidectomy. Thyroid. 2006;16:259–265
  24. Del Rio P, Arcuri MF, Ferreri G, et al. The utility of serum PTH assessment 24 hours after total thyroidectomy. Otolaryngol Head Neck Surg. 2005;132:584–586
  25. Chia SH, Weisman RA, Tieu D, et al. Prospective study of perioperative factors predicting hypocalcemia after thyroid and parathyroid surgery. Arch Otolaryngol Head Neck Surg. 2006;132:41–45

PII: S0002-9610(08)00478-9

doi: 10.1016/j.amjsurg.2008.01.032

The American Journal of Surgery
Volume 197, Issue 4 , Pages 439-446 , April 2009

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