The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy
Autor(a) principal: | |
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Data de Publicação: | 2000 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Hospital das Clínicas |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812000000400002 |
Resumo: | We prospectively studied the effects of the ligation of the inferior thyroid artery (ITA) on postoperative hypoparathyroidism in 48 patients who underwent functional subtotal thyroidectomy. Patients were randomized into two groups: A, with bilateral ligation of the ITA and B, without ligation of the ITA. Parathyroid function was checked preoperatively and after surgery by clinical examination and measurement of total calcium, intact PTH, urinary calcium, and AMPc. RESULTS: A significant incidence of postoperative hypocalcemia occurred: 17% in group A and 13% in B on the 4th postoperative day. Six months later, the incidence was 5% in Group A and 0% in Group B. These differences were not statistically significant between the two groups, and neither were any of the other clinical and laboratory observations. CONCLUSION: The ligation of the ITA was not an important causal factor for the occurrence of postoperative hypocalcemia after subtotal thyroidectomy. |
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The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomyThyroidectomyParathyroid glandsHypoparathyroidismHypocalcemiaSurgeryWe prospectively studied the effects of the ligation of the inferior thyroid artery (ITA) on postoperative hypoparathyroidism in 48 patients who underwent functional subtotal thyroidectomy. Patients were randomized into two groups: A, with bilateral ligation of the ITA and B, without ligation of the ITA. Parathyroid function was checked preoperatively and after surgery by clinical examination and measurement of total calcium, intact PTH, urinary calcium, and AMPc. RESULTS: A significant incidence of postoperative hypocalcemia occurred: 17% in group A and 13% in B on the 4th postoperative day. Six months later, the incidence was 5% in Group A and 0% in Group B. These differences were not statistically significant between the two groups, and neither were any of the other clinical and laboratory observations. CONCLUSION: The ligation of the ITA was not an important causal factor for the occurrence of postoperative hypocalcemia after subtotal thyroidectomy.Faculdade de Medicina / Universidade de São Paulo - FM/USP2000-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812000000400002Revista do Hospital das Clínicas v.55 n.4 2000reponame:Revista do Hospital das Clínicasinstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0041-87812000000400002info:eu-repo/semantics/openAccessAraujo Filho,Vergilius José Furtado deSilva Filho,Gilberto Britto eBrandão,Lenine GarciaSantos,Luiz Roberto Medina dosFerraz,Alberto R.eng2000-11-16T00:00:00Zoai:scielo:S0041-87812000000400002Revistahttp://www.scielo.br/rhcPUBhttps://old.scielo.br/oai/scielo-oai.php||revista.hc@hcnet.usp.br1678-99030041-8781opendoar:2000-11-16T00:00Revista do Hospital das Clínicas - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
title |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
spellingShingle |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy Araujo Filho,Vergilius José Furtado de Thyroidectomy Parathyroid glands Hypoparathyroidism Hypocalcemia Surgery |
title_short |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
title_full |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
title_fullStr |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
title_full_unstemmed |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
title_sort |
The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy |
author |
Araujo Filho,Vergilius José Furtado de |
author_facet |
Araujo Filho,Vergilius José Furtado de Silva Filho,Gilberto Britto e Brandão,Lenine Garcia Santos,Luiz Roberto Medina dos Ferraz,Alberto R. |
author_role |
author |
author2 |
Silva Filho,Gilberto Britto e Brandão,Lenine Garcia Santos,Luiz Roberto Medina dos Ferraz,Alberto R. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Araujo Filho,Vergilius José Furtado de Silva Filho,Gilberto Britto e Brandão,Lenine Garcia Santos,Luiz Roberto Medina dos Ferraz,Alberto R. |
dc.subject.por.fl_str_mv |
Thyroidectomy Parathyroid glands Hypoparathyroidism Hypocalcemia Surgery |
topic |
Thyroidectomy Parathyroid glands Hypoparathyroidism Hypocalcemia Surgery |
description |
We prospectively studied the effects of the ligation of the inferior thyroid artery (ITA) on postoperative hypoparathyroidism in 48 patients who underwent functional subtotal thyroidectomy. Patients were randomized into two groups: A, with bilateral ligation of the ITA and B, without ligation of the ITA. Parathyroid function was checked preoperatively and after surgery by clinical examination and measurement of total calcium, intact PTH, urinary calcium, and AMPc. RESULTS: A significant incidence of postoperative hypocalcemia occurred: 17% in group A and 13% in B on the 4th postoperative day. Six months later, the incidence was 5% in Group A and 0% in Group B. These differences were not statistically significant between the two groups, and neither were any of the other clinical and laboratory observations. CONCLUSION: The ligation of the ITA was not an important causal factor for the occurrence of postoperative hypocalcemia after subtotal thyroidectomy. |
publishDate |
2000 |
dc.date.none.fl_str_mv |
2000-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812000000400002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812000000400002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0041-87812000000400002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
publisher.none.fl_str_mv |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
dc.source.none.fl_str_mv |
Revista do Hospital das Clínicas v.55 n.4 2000 reponame:Revista do Hospital das Clínicas instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista do Hospital das Clínicas |
collection |
Revista do Hospital das Clínicas |
repository.name.fl_str_mv |
Revista do Hospital das Clínicas - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revista.hc@hcnet.usp.br |
_version_ |
1754820894044192768 |