Akademik Veri Yönetim Sistemi
ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.14, sa.3, ss.241-245, 2023 (ESCI)
Aim: Total thyroidectomy is the most frequently performed surgery in general surgery clinics for both benign and malignant pathologies of the thyroid gland. Although postoperative transient hypoparathyroidism is the most common complication, permanent hypoparathyroidism is rarely encountered. In our study, the incidence of permanent and temporary hypoparathyroidism developing after total thyroidectomy operations performed in our clinic within one year is investigated.Material and Methods: Data extracted from prospectively recorded data of 258 patients (208 females and 50 males) who underwent total thyroidectomy at the Endocrine Surgery Unit of Ankara University General Surgery Clinic between January 2013 and January 2014 were retrospectively analyzed. The patients were divided into 2 groups as those operated for benign (Group 1) and malignant (Group 2) pathologies. The groups were compared in terms of the incidence of permanent and transient hypoparathyroidism.Results: Post-operative temporary hypoparathyroidism was detected in 106 (41.1%) of 258 patients who underwent total thyroidectomy. Of these patients, 49 were operated for differentiated thyroid carcinoma (46.2%) and 57 for nodular goiter (53.7%) (p= 0.697). Permanent hypoparathyroidism was observed in only one (0.4%) patient who was operated for papillary thyroid carcinoma (p= 0.294). Post-operative transient hypocalcemia was detected in 67 (25.9%) patients. Of these patients, 26 (38.8%) were operated for differentiated carcinoma and 41 (61.1%) for nodular goiter (p= 0.91). Discussion: The incidence of postoperative transient and permanent hypoparathyroidism in total thyroidectomy operations performed in our clinic was found to be consistent with the literature.