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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Related Experiment Video

Updated: Mar 5, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Early discharge after total thyroidectomy: a retrospective feasibility study.

F Tartaglia, A Giuliani, S Sorrenti

    Il Giornale Di Chirurgia
    |March 29, 2017
    PubMed
    Summary

    Predicting early discharge after thyroidectomy is challenging. Postoperative calcium and parathyroid hormone levels do not reliably identify patients safe for early discharge, indicating a significant risk of hypocalcemic complications.

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    Area of Science:

    • Endocrinology
    • Surgical Oncology
    • Neurosurgery

    Background:

    • Post-thyroidectomy hypocalcemia can prolong hospitalization.
    • Early identification of patients suitable for discharge is clinically desirable.

    Purpose of the Study:

    • To evaluate the predictability of early discharge after total thyroidectomy.
    • To determine if serum calcium and parathyroid hormone levels can predict hypocalcemic complications.

    Main Methods:

    • Retrospective analysis of 327 thyroidectomized patients.
    • Evaluation of pre- and post-operative serum calcium levels (Cal0, Cal1, dCal, dCaln).
    • Analysis of parathyroid hormone (PTH) in a subgroup of 111 patients.

    Main Results:

    • Discriminant function analysis showed significant predictive power but with clinically unacceptable error rates (21-27%).
    • No safe threshold was identified for early discharge.
    • Diagnosis (benign vs. malignant) did not correlate with discharge suitability.

    Conclusions:

    • Serum calcium and PTH levels on the first postoperative day are insufficient to predict safe early discharge.
    • Current biochemical markers do not reliably rule out the risk of delayed hypocalcemia.