Clinical and laboratorial correlation of postoperative hypocalcemia after extensive thyroidectomy
Keywords:
Thyroid, hypocalcemia, thyroidectomyAbstract
The medical records of 84 patients submitted to extensive thyroidectomy from January 1991 to April 1995 were reviewed and the data was analyzed in order to verify a correlation between postoperative laboratories results and physical findings suggestive of hypocalcemia. It was verified that there was hypocalcemia in 51.2 percent of the patients, of which only 18.6 percent presented symptoms. It was concluded that asymptomatic hypocalcemia is frequent in extensive thyroidectomy and a routine screening for serum calcium in the postoperative period following thyroidectomy and calcium reposition must be systematic.
Downloads
References
Kahky MP, Weber RS. Complications of surgery of the thyroid and parathyroid glands. Surg Clin N Amer 993;73(2):307-21.
Lo Gerfo P, Gates R, Gazetas P. Outpatient and short-stay thyroid surgery. Head & Neck 1991;13(2):97-101.
Sugino K, Kure Y, Iwasaki H. Does total thyroidectomy induce metabolic bone disturbance? Intl Surg 1992;77(3):178-80.
Reeve T, Delbridge L, Brady P. Secondary thyroidectomy: A twenty-year experience. World J Sur 1988; 12(4):449-53
Claussen MS, Pehling GB, Kisken WA. Delayed recovery from post-thyroidectomy hypoparathyroidism: A case report. Wisc Med J 1993;92(7):331-4.
Demeester-Mirkine N, Hooghe L, Van Geertruyden J, De Maertelaer V. Hypocalcemia after thyroidectomy . Arch Surg 1992; 1.27(7):854-8.
Elin RJ. Intervalos de referência e valores laboratoriais de importância clinica. In: Wingaarden JB, Smith LM, eds: Cecil Tratado de Medicina Interna, Vol. 2, Rio de Janeiro: Editora Guanabara Koogan, 1990:2103-14.
Lyerly HK. The thyroid gland. In: Sabiston Jr DC, ed. Textbook of Surgery: The biological basis of modern surgical practice. Philadelphia: W.B. Saunders Company, 1991:556-90.
McHenry CR, Speroff T, Wentworth D, Murphy T. Risk factors for post-thyroidectomy hypocalcemia. Surg 1994; 116(4):641-7.
Osime U, Ofili OP. Incidence of hypoparathyroidism following thyroidectomy in a prospective study of 108 consecutive African patients. Central African J Med 1992;38(8):343-5.
Cakmakli S, Aydintug S, Erdem E. Post-thyroidectomy hypocalcemia: Does arterial ligation play a significant role? Intl Surg 1992;77(04):284-6.
Herranz-Gonzalez J, Gavilan J, Matinez-Vidal J, Gavilan C. Complications following thyroid surgery. Arch Otolaryngol Head Neck Surg 1991;117(5):516-8.
Murakami T, Tajiri J, Noguchi S. Prediction of the outcome of postoperative hypocalcemia in Graves' Disease. Endocrinologia Japonica 1992; 39(1):103-7.
Smith MA, Jarosz H, Hessel P. Parathyroid autotransplantation in total thyroidectomy. American Surgeon 1990; 56(7):404-6.
Kalisnik M, Zorc-Pleskovic R, Pajer Z. The effect of chronic hypercalcemia or hypocalcemia on the follicular and parafollicular cells in rat thyroid gland. A J Anat 1990;189(3):201-6.
Attie M. Hypocalcemic symptoms following parathyroidectomy. JAMA 1991;265 (21):2888.
