Parathyroid function following ligation of the inferior thyroid arteries during bilateral subtotal thyroidectomy
- 1 December 1994
- journal article
- clinical trial
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 81 (12), 1757-1759
- https://doi.org/10.1002/bjs.1800811215
Abstract
A randomized controlled trial was performed to compare two techniques of bilateral subtotal thyroidectomy for non-toxic nodular goitre with regard to postoperative parathyroid function. The 50 patients in group 1 underwent ligation of the trunks of the inferior thyroid arteries. In group 2 (50 patients) the branches of these arteries were suture-ligated at the thyroid capsule. Total calcium, ionized calcium and parathyroid hormone levels were determined before operation, and 6, 24 and 72 h after surgery. Ninety-one patients were seen at follow-up 5–10 months after operation. Ten patients in group 1 and 12 in group 2 required calcium and/or vitamin D supplementation for symptomatic hypocalcaemia in the immediate postoperative period. At follow-up only one patient in each group had mild hypoparathyroidism. No statistically significant differences were found between groups regarding total calcium, ionized calcium and parathyroid hormone levels. Truncal ligation of the inferior thyroid arteries during bilateral subtotal thyroidectomy does not cause hypoparathyroidism or hypocalcaemia.Keywords
This publication has 19 references indexed in Scilit:
- Hypocalcemia After ThyroidectomyArchives of Surgery, 1992
- Thyroid and parathyroid surgical complicationsThe American Journal of Surgery, 1992
- Temporary Postthyroidectomy HypocalcemiaJAMA Otolaryngology–Head & Neck Surgery, 1988
- Post-thyroidectomy hypocalcemia: Incidence and risk factorsThe American Journal of Surgery, 1986
- Long term follow-up of hyperthyroid patients treated by subtotal thyroidectomyBritish Journal of Surgery, 1983
- Hypocalcemia After ThyroidectomySouthern Medical Journal, 1977
- MECHANISM OF HYPOCALCÆMIA AFTER THYROIDECTOMY FOR THYROTOXICOSISThe Lancet, 1971
- TRANSIENT FALL IN BLOOD CALCIUM LEVEL FOLLOWING THYROID OPERATIONSEndocrinologia Japonica, 1968
- Management of surgical hypoparathyroidismThe American Journal of Surgery, 1966
- The course of partial parathyroid insufficiency after thyroedectomyBritish Journal of Surgery, 1965