Risk factors for postoperative hypocalcemia

摘要: Hypocalcaemia is one of the most common complications after thyroidectomy; however, it still unclear what preoperative factors could predict this event. The aim study was to evaluate role risk for hypocalcaemia total thyroidectomy (TT). Consecutive patients who underwent thyroidectomyat our institution between January 2014 and 2016 were enrolled. clinical pathologic characteristics surgical details normocalcemic hypocalcemic compared. Univariate multivariate analyses estimate ratio assessed. A 328 TT; histology revealed benign malignant disease in 83 17% cases, respectively. Central-compartment neck dissection (CCND) performed 36 subjects (10.9%). Parathyroid glands observed 23% (76) specimens. Laboratory asymptomatic 92 (28%) patients; symptomatic occurred 26 (7.9%). Transient has been 48 (14.6%) permanent two (0.6%). On univariate analysis, pathology (p < 0.001), CCND 0.05), female gender presence at least parathyroid specimens 0.002), operative time longer than 120 min 0.05) that significantly increased developing transient hypocalcaemia. After logistic regression 0.000; p 0.001) 0.005; = 0.013) significant affected development found be risks postoperative In whom pathological features are present, attention should paid rapidly start an adequate therapy.