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Hypocalcemia after minimally invasive thyroidectomy.

Doug Massick1, Matthew R Garrett

  • 1Mount Carmel ENT, 5969 E. Broad St., Suite 400, Columbus, OH 43213, USA. dougmassick@yahoo.com.

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|September 26, 2014
PubMed
Summary
This summary is machine-generated.

Minimally invasive thyroidectomy shows a low incidence of postoperative hypocalcemia (18.9%), comparable to standard procedures. Most patients with low calcium levels did not show symptoms and recovered with supplementation.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Thyroidectomy is a common surgical procedure.
  • Postoperative hypocalcemia is a known complication.
  • Minimally invasive techniques are increasingly used.

Purpose of the Study:

  • To determine the incidence of postoperative hypocalcemia after minimally invasive thyroidectomy.
  • To compare hypocalcemia rates with standard thyroidectomy.

Main Methods:

  • Retrospective study over 2 years.
  • Analysis of 74 patients undergoing minimally invasive total or hemithyroidectomy.
  • Monitoring of postoperative serum calcium levels.

Main Results:

  • 18.9% incidence of postoperative hypocalcemia.
  • Hypocalcemia occurred only in patients who underwent total thyroidectomy.
  • No overt symptoms of hypocalcemia were observed in affected patients.
  • All patients normalized calcium levels with supplementation within 3 weeks.

Conclusions:

  • Minimally invasive thyroidectomy is associated with a low rate of postoperative hypocalcemia.
  • The incidence is comparable to standard thyroidectomy.
  • Asymptomatic hypocalcemia is common and manageable with supplementation.