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Updated: Apr 18, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
5.4K
[Preservation of parathyroid during the thyroidectomy]
Haidong Zhang1, Shanchun Gong1, Yaqun Liu1
1Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China.
Summary
Protecting parathyroid glands during total thyroidectomy is crucial. Careful identification and in situ preservation or auto-transplantation effectively prevent permanent hypoparathyroidism after surgery.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Thyroid Disease Management
Background:
- Total thyroidectomy is a common procedure for thyroid diseases.
- Postoperative permanent hypoparathyroidism is a significant complication.
- Preserving parathyroid function is essential for patient well-being.
Purpose of the Study:
- To evaluate strategies for protecting parathyroid glands during total thyroidectomy.
- To assess the effectiveness of these strategies in preventing permanent hypoparathyroidism.
Main Methods:
- Retrospective review of 43 total thyroidectomy cases (June 2013-June 2014).
- Analysis of parathyroid gland identification rates and management techniques.
- Inclusion of cases with both malignant and benign thyroid diseases.
Main Results:
- All four parathyroid glands were identified in 27 cases.
- Intraoperative parathyroid auto-transplantation was performed in 6 cases.
- No cases of permanent hypoparathyroidism were observed during 1-3 months follow-up; transient hypocalcemia and temporary hypoparathyroidism occurred in some patients.
Conclusions:
- Accurate identification and in situ conservation of parathyroid glands are key.
- Auto-transplantation serves as an effective alternative when necessary.
- These techniques significantly reduce the risk of permanent hypoparathyroidism after total thyroidectomy.
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