The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy

Detalhes bibliográficos
Autor(a) principal: Araujo Filho,Vergilius José Furtado de
Data de Publicação: 2000
Outros Autores: Silva Filho,Gilberto Britto e, Brandão,Lenine Garcia, Santos,Luiz Roberto Medina dos, Ferraz,Alberto R.
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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spelling 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
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