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The importance of the ligation of the inferior thyroid artery in parathyroid function after subtotal thyroidectomy
Araujo Filho, Vergilius José Furtado de; Silva Filho, Gilberto Britto e; Brandao, Lenine Garcia; Santos, Luiz Roberto Medina dos; Ferraz, Alberto R..
  • Araujo Filho, Vergilius José Furtado de; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Head and Neck Surgery. BR
  • Silva Filho, Gilberto Britto e; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Head and Neck Surgery. BR
  • Brandao, Lenine Garcia; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Head and Neck Surgery. BR
  • Santos, Luiz Roberto Medina dos; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Head and Neck Surgery. BR
  • Ferraz, Alberto R.; University of Sao Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Head and Neck Surgery. BR
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo ; 55(4): 113-20, July-Aug. 2000. ilus, tab
Artículo en Inglés | LILACS | ID: lil-275063
ABSTRACT
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 percent in group A and 13 percent in B on the 4th postoperative day. Six months later, the incidence was 5 percent in Group A and 0 percent 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
Asunto(s)
Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Glándulas Paratiroides / Glándula Tiroides / Tiroidectomía / Enfermedad de Graves / Hipocalcemia Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional / Factores de riesgo Límite: Femenino / Humanos / Masculino Idioma: Inglés Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Asunto de la revista: Medicina Año: 2000 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: University of Sao Paulo/BR / University of Säo Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Glándulas Paratiroides / Glándula Tiroides / Tiroidectomía / Enfermedad de Graves / Hipocalcemia Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional / Factores de riesgo Límite: Femenino / Humanos / Masculino Idioma: Inglés Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Asunto de la revista: Medicina Año: 2000 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: University of Sao Paulo/BR / University of Säo Paulo/BR