[Incidence of hypocalcemia after total thyroidectomy].

Abstract:

BACKGROUND:Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the procedure of choice in our hospital for benign and malignant thyroid disease, but it can increase the incidence of complications. AIM:To evaluate the incidence of postoperative hypocalcemia in patients subjected to a total thyroidectomy. MATERIAL AND METHODS:Two studies were performed. A retrospective review of medical records of 448 patients subjected to total thyroidectomy, looking for serum calcium levels of less than 8 mg/dl and clinical signs of hypocalcemia. In a second study, 45 patients were followed with measurements of preoperative and postoperative serum calcium levels. RESULTS:In the retrospective study, only 136 records had reliable information. Clinical signs of hypocalcemia were registered in 14% of patients and a low serum calcium level was detected in 50%. In the prospective study, 42% of patients had a postoperative low serum calcium level and seven patients (15%) had symptoms. Patients were handled with oral calcium and calcitriol in some cases. Ninety nine percent of patients had normal serum calcium levels two moths after surgery. CONCLUSIONS:In this series, the rate of postoperative hypocalcemia after total thyroidectomy is similar to international reports.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Gac E P,Cabané T P,Amat V J,Huidobro G F,Rossi F R,Rodríguez F F,Ferrada V C,Cardemil R F

doi

10.4067/s0034-98872007000100004

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

26-30

issue

1

eissn

0034-9887

issn

0717-6163

pii

S0034-98872007000100004

journal_volume

135

pub_type

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