You are here

Home » Content

Hemitiroidektominin Kan Kalsiyum Düzeyine Etkisi

The effect of hemithyroidectomy on blood calcium level

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Bilateral thyroid operation concerns all of four parathyroid glands, which are in close contact with the capsule of thyroid. Hemithyroidectomy, which is a more limited operation can effect directly only two parathyroids settled on one side of the thyroid. That is why hypocalcemia rate after unilateral operation is lower. The aim of this study is to assess serum calcium changes and hypocalcemia after hemithyroidectomy. For this purpose, serum total calcium levels of 53 consecutive patients undergoing hemithyroidectomy procedure were obtained before the operation, between 12-24 hours after the operation, and at 1 month after surgery. When the data from these patients were examined, transient hypocalcemia developed in 12 (22.6%) patients, but all of these patients were asyptomatic. In conclusion, after hemithyroidectomy, serum total calcium level statistically decreases and transient hypocalcemia develops in a certain part of the cases, but it is usually asymptomatic. This situation can allow early patient discharge without a need for biochemical tests or calcium supplementation following the surgery
Bookmark/Search this post with
Abstract (Original Language): 
İki taraflı tiroid operasyonları tiroid kapsülü ile yakın temas halindeki dört paratiroid glandınıda ilgilendirir. Hemitiroidektomi daha sınırlı bir operasyon olup, sadece tiroidin bir tarafında yerleşik iki paratiroid glandını doğrudan etkileyebilir. Bu nedenle unilateral operasyon sonrası hipokalsemi oranı daha düşüktür. Bu çalışmanın amacı hemitiroidektomi sonrası gelişen serum kalsiyum değişiklikleri ve hipokalsemileri incelemektir. Bu nedenle hemitiroidektomi yapılan ardışık 53 hemitiroidektomi olgusunda operasyona giderken, operasyondan sonraki 12-24. saatlerde ve postoperatif 1.aydaki serum total kalsiyum düzeyleri incelenmiştir. Veriler incelendiğinde hemitiroidektomi sonrası 12 (%22.6) olguda geçici hipokalsemi gelişti, ancak bu olguların tümü asemptomatikti. Sonuç olarak, hemitiroidektomi sonrası total kan kalsiyum düzeylerinde anlamlı azalma olur ve olguların bir kısmında geçici hipokalsemi gelişir, ancak hipokalsemi genellikle asemptomatiktir. Bu durum cerrahi sonrası biokimyasal testlere veya kalsiyum desteğine gerek kalmaksızın hastaların erken taburcu edilmesini sağlayabilir
FULL TEXT (PDF): 
PDF icon arastirmax-hemitiroidektominin-kan-kalsiyum-duzeyine-etkisi.pdf
  • 2
107-111
  • Turkish

REFERENCES

References: 

1. 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;28:271-6.
2. Sturniola G, Lo Schiavo MG, Tonante A, D’Alia C, Bonanno
L. Hypocalcemia and hypoparathyroidsm after total
thyroidectomy: a clinical biological study and surgical
considerations. Int J Surg Investig 2000;2:99-105.
3. Thomusch O, Machens A, Sekulla C, Ukkat J, Brauckhoff M,
Dralle H. The impact of surgical technique on postoperative
hypoparathyroidsm in bilateral thyroid surgery. Surgery
2003;133:180-5.
4. Wingert DJ, Friesen SR, Iliopoulos JI, Pierce GE, Thomas JH,
Hermreck AS. Post-Thyroidectomy hypocalcemia. Incidence
and risk factors. Am J Surg 1986;152:606-10.
5. Abboud B, Sargi Z, Akkam M, Sleilaty F. Risk factors for
postthyroidectomy hypocalcemia. J Am Coll Surg
2002;195:456-61.
6. McHenry CR, Speroff T, Wentworth D, Murphy T. Risk
factors for postthyroidectomy hypocalcemia. Surgery
1994;116:641-7.
7. See ACH, Soo KC. Hypocalcemia following thyroidectomy
for thyrotoxicosis. Br J Surg 1997;84:95-7.
8. Bergamaschi R, Becouarn G, Ronceray J, Arnoud JP.
Morbidity of thyroid surgery. Am J Surg 1998;176:71-5
9. Pattou F, Combemale F, Fabre S et al. Hypocalcemia
following thyroid surgery: incidence and prediction of
outcome. World J Surg 1998;22:718-24.
10. Lo CY, Lam KY. Postoperative hypocalcemia in patients who
did or did not undergo parathyroid autotransplantation during
thyroidectomy: a comparative study. Surgery 1998;124:1081-
6. Hemitiroidektominin Kan Kalsiyum Düzeyine Etkisi
111
11. Zedenius J, Wadstrom C, Delbridge L. Routine
autotransplantation of at least one parathyroid gland during total thyroidectomy may reduce permanent hypoparathyroidism
to zero. ANZ J Surg 1999;69:794-7.
12. Lo CY. Parathyroid autotransplantation during surgery. ANZ J
Surg 2002;72:902-7.
13. Lindblom P, Westerdahl J, Bergenfelz A. Hemithyroidectomy:
long-term effects on parathyroid function-preliminary report.
World J Surg 2001;25:1155-9.

Thank you for copying data from http://www.arastirmax.com