Zhang Li-Yong1,2,3, Liang Bo-Yan4,5,6, Zhou Qing6,7, Cai Shao-Jun4,5,6, Yan ShouYi4,5,6, Wang Bo4,5,6, Zhao Wen-Xin4,5,6. 1. Department of General Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Gulou District, Fuzhou, 350001, China. zly2021@fjmu.edu.cn. 2. Department of Thyroid Surgery, Minimal Invasive Center, The Training Center for Intraoperative neurophysiologic monitoring (IONM) of Thyroid and Parathyroid, Fujian Medical University Union Hospital, Fuzhou, China. zly2021@fjmu.edu.cn. 3. Fujian Medical University, Fuzhou, China. zly2021@fjmu.edu.cn. 4. Department of General Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Gulou District, Fuzhou, 350001, China. 5. Department of Thyroid Surgery, Minimal Invasive Center, The Training Center for Intraoperative neurophysiologic monitoring (IONM) of Thyroid and Parathyroid, Fujian Medical University Union Hospital, Fuzhou, China. 6. Fujian Medical University, Fuzhou, China. 7. Department of Pediatrics, Fujian Maternity and Child Health Hospital, Fuzhou, China.
Abstract
PURPOSE: The present study discussed the effects of accidental parathyroid resection on hypoparathyroidism and investigated the risk factors associated with accidental parathyroid resection. METHODS: Clinical data from patients who have undergone thyroidectomy at a university hospital in the period from November 2018 and October 2020 were entered into the database and analyzed. Risk factors for accidental parathyroid resection were recorded. RESULTS: A total of 1775 cases were included in this study. The analysis showed that lymph-node dissection (p < 0.001), T staging (p = 0.037), and treatment group (p < 0.001) were independent risk factors for accidental parathyroid resection. Different treatment groups were important risk factors for accidental parathyroid resection. There were significant differences between the professional and non-professional groups in the following aspects: accidental parathyroid resection (p < 0.001), Scope (p < 0.001), T stage (p = 0.009), N stage (p < 0.001), range of lymph-node dissection (p < 0.001), number of lymph nodes dissected in central area (p < 0.001), and number of lymph-node metastases in the central region (p < 0.001). CONCLUSIONS: The causes of accidental parathyroid resection are multifactorial. The predictors for accidental parathyroid resection include lymph-node dissection in the central region, T staging, as well as the operating surgeons' experience.
PURPOSE: The present study discussed the effects of accidental parathyroid resection on hypoparathyroidism and investigated the risk factors associated with accidental parathyroid resection. METHODS: Clinical data from patients who have undergone thyroidectomy at a university hospital in the period from November 2018 and October 2020 were entered into the database and analyzed. Risk factors for accidental parathyroid resection were recorded. RESULTS: A total of 1775 cases were included in this study. The analysis showed that lymph-node dissection (p < 0.001), T staging (p = 0.037), and treatment group (p < 0.001) were independent risk factors for accidental parathyroid resection. Different treatment groups were important risk factors for accidental parathyroid resection. There were significant differences between the professional and non-professional groups in the following aspects: accidental parathyroid resection (p < 0.001), Scope (p < 0.001), T stage (p = 0.009), N stage (p < 0.001), range of lymph-node dissection (p < 0.001), number of lymph nodes dissected in central area (p < 0.001), and number of lymph-node metastases in the central region (p < 0.001). CONCLUSIONS: The causes of accidental parathyroid resection are multifactorial. The predictors for accidental parathyroid resection include lymph-node dissection in the central region, T staging, as well as the operating surgeons' experience.
Authors: Paolo Del Rio; Belinda De Simone; Lorenzo Viani; Maria Francesca Arcuri; Mario Sianesi Journal: Ann Ital Chir Date: 2014 Sep-Oct Impact factor: 0.766
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