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  • Title: [Surgery of nodular goiter: postoperative hypocalcemia in relation to extent of resection and manipulation of the parathyroid glands].
    Author: Rimpl I, Wahl RA.
    Journal: Langenbecks Arch Chir Suppl Kongressbd; 1998; 115():1063-6. PubMed ID: 9931791.
    Abstract:
    In a series of 579 consecutive first operations for bilateral benign nodular goiter, the incidence of hypocalcemia was analyzed related to the extent of the bilateral operative procedure and manipulation of the parathyroid glands (identification, mobilization, non-identification). The incidence of early hypocalcemia increased with the extent of the operation and with increasing manipulation of the parathyroid glands. However, permanent hypocalcemia was exclusively found after identification of less than three parathyroid glands (1.5% vs 0%), most evidently after bilateral conventional subtotal resection (3.5%). As a rule, the parathyroid glands should be identified routinely, especially in conventional subtotal resections, if possible without further mobilizing manipulations.
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