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  • Title: Does concomitant thyroidectomy increase risks of parathyroidectomy?
    Author: Kiernan CM, Schlegel C, Kavalukas S, Isom C, Peters MF, Solórzano CC.
    Journal: J Surg Res; 2016 Jun 01; 203(1):34-9. PubMed ID: 27338532.
    Abstract:
    BACKGROUND: Concomitant thyroid pathology in patients with primary hyperparathyroidism is common. This study compares complications of patients who underwent parathyroidectomy to those who underwent parathyroidectomy with a concomitant thyroidectomy. METHODS: A retrospective review of prospectively collected data on 709 patients who underwent parathyroidectomy was performed. Patients who had prior thyroid or parathyroid procedures were excluded. Chi-square, Fisher's exact, Student's t-test, and Wilcoxon rank-sum tests were used to compare cohorts. RESULTS: Of the 641 patients included, 90% underwent parathyroidectomy alone and 10% underwent parathyroidectomy with a concomitant thyroidectomy. Overall, 49% had preoperative thyroid disease and 22% of patients with thyroid disease had a thyroid procedure. When compared with parathyroidectomy alone, parathyroidectomy with a concomitant thyroidectomy was associated with longer operative times (91 min versus 57 min, P < 0.001), increased rate of overnight stay (69% versus 17%, P < 0.001), and increased rate of transient hypocalcemia (15% versus 3%, P < 0.001). CONCLUSIONS: Parathyroidectomy with a concomitant thyroidectomy is associated with longer operative times, increased rate of overnight stay, and increased transient hypocalcemia.
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