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dc.contributor.authorLo, CY
dc.contributor.authorLam, KY
dc.contributor.editorDr. Andrew L Warshaw, Dr. Michael G Starr, Dr. Walter F Ballinger, George Zuidema
dc.date.accessioned2006-07-06
dc.date.accessioned2017-03-02T01:04:14Z
dc.date.available2015-06-05T04:22:11Z
dc.date.available2017-03-02T01:04:14Z
dc.date.issued2001
dc.identifier.issn0039-6060
dc.identifier.doi10.1067/msy.2001.111125
dc.identifier.urihttp://hdl.handle.net/10072/59091
dc.description.abstractParathyroid autotransplantation (PTHAT) during thyroidectomy has been shown to reduce the incidence of permanent hypoparathyroidism. Although selective PTHAT is most commonly adopted, the value of routine PTHAT has not been well documented. Methods. From January, 1998 to March, 1999, an operative strategy incorporating routine autotransplantation of at least 1 parathyroid gland was used during thyroidectomy. The postoperative outcome of patients (n = 118) was evaluated and compared with patients (n = 271) operated during a policy of selective PTHAT (January, 1995 to October, 1997). Results. Two or more parathyroid glands were autotransplanted in 26 patients (22%) while 92 patients (78%) received autotransplantation of 1 parathyroid gland. Postoperative hypocalcemia occurred in 29 patients (25%) and 2 patients (1.7%) had permanent hypocalcemia develop. When a policy of selective PTHAT was adopted, 98 patients (36%) underwent PTHAT, and 5 patients developed permanent hypocalcemia (1.8%). The incidence of postoperative hypocalcemia was higher in patients who underwent routine PTHAT (25%) compared with that in patients who underwent selective PTHAT (15%) (P = .014). In addition, the operating time was significantly longer when routine PTHAT was adopted (153 minutes vs 130 minutes; P < .001). Conclusions. A low incidence of permanent hypoparathyroidism can be achieved by either routine or selective PTHAT during thyroidectomy but routine PTHAT is associated with a high incidence of postoperative hypocalcemia. (Surgery 2001;129:318-23.)
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherMosby, Inc
dc.publisher.placeUnited States
dc.relation.ispartofpagefrom318
dc.relation.ispartofpageto323
dc.relation.ispartofissue3
dc.relation.ispartofjournalSurgery
dc.relation.ispartofvolume129
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.titleRoutine parathyroid autotransplantation during thyroidectomy.
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codec1x
gro.facultyGriffith Health Faculty
gro.date.issued2015-06-05T04:22:11Z
gro.hasfulltextNo Full Text
gro.griffith.authorLam, Alfred K.


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