Preoperative Vitamin.D Status and Post-Total Thyroidectomy Hypocalcemia

Area of Science:

• Endocrinology
• Surgical Complications
• Nutritional Science

Background:

• Hypocalcemia is a frequent complication following total thyroidectomy (TT).
• Preoperative vitamin D status is a potential factor influencing post-thyroidectomy hypocalcemia.

Purpose of the Study:

• To investigate the relationship between preoperative vitamin D levels and the incidence of hypocalcemia after total thyroidectomy.

Main Methods:

• Patients undergoing TT were categorized into three groups based on preoperative serum vitamin D levels (deficient, insufficient, normal).
• Serum calcium, phosphorus, and parathyroid hormone levels were monitored pre- and post-surgery.
• Clinical signs and symptoms of hypocalcemia were assessed postoperatively.

Main Results:

• No significant differences in postoperative serum calcium or phosphorus levels were observed among the vitamin D groups.
• Postoperative parathyroid hormone levels also showed no significant variation between the groups.
• The majority of patients (81%) were female, with a mean age of 36.60±8.32 years.

Conclusions:

• Preoperative serum vitamin D levels do not appear to influence postoperative serum calcium levels after total thyroidectomy.
• Further research may be needed to explore other potential factors affecting post-TT hypocalcemia.