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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Frequency of Hypocalcaemia following Total Thyroidectomy
Naseem Baloch1, Saima Taj2, Mariyah Anwer3
1Dr. Naseem Baloch, FCPS. Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
Pakistan Journal of Medical Sciences
|March 19, 2019
Summary
Total thyroidectomy can lead to hypocalcaemia. This study found a 7% incidence of transient hypocalcaemia and a 0.11% incidence of permanent hypocalcaemia in 854 patients, highlighting the need for careful surgical techniques.
Area of Science:
- Endocrinology
- Surgical Oncology
- Neurosurgery
Background:
- Total thyroidectomy is associated with a significant risk of postoperative hypocalcaemia.
- Hypocalcaemia can result in considerable short-term and long-term patient morbidity.
Purpose of the Study:
- To determine the frequency of postoperative hypocalcaemia in patients undergoing total thyroidectomy.
- To assess the incidence of transient and permanent hypocalcaemia after total thyroidectomy.
Main Methods:
- Retrospective study of 854 patients who underwent total or completion thyroidectomy between January 2003 and December 2016.
- Data collected included demographics, preoperative diagnosis, postoperative calcium levels, extent of surgery, and surgical pathology.
Main Results:
- Overall incidence of transient hypocalcaemia was 7% (n=60).
- Permanent hypocalcaemia occurred in 0.11% (n=1) of patients.
- The majority of thyroidectomies (87.58%) were for malignant conditions.
Conclusions:
- Hypocalcaemia is a major concern following total thyroidectomy.
- Meticulous surgical techniques, including identification and preservation of parathyroid gland vascularity, are crucial for preventing postoperative hypocalcaemia.
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