Iatrogenic/post-surgical hypoparathyroidism: where do we go from here?

摘要: surgeons. Two recent papers in the ‘Endocrine’ journal have highlighted problem different cohorts of patients. The first paper by Pelizzo et al. [4] reported complication rates 233 patients undergoing re-operative thyroid surgery over a 5-year period. Their detailed description operation is good educational resource for trainee low (transient and definitive hypoparathyroidism 36.4 3.3 %, respectively; transient recurrent laryngeal nerve injury 7 1.7 reoperation bleeding 2.5 %) provides reassurance on safety encourages surgeons to adopt hemi-thyroidectomy unilateral benign disease (if they not already done so). Hemi-thyroidectomy (or lobectomy) widely practised UK represents around 50 % all procedures registered National British Association Endocrine Thyroid Surgeons (BAETS) registry [5]. limited nature this procedure reduces risk damage postoperative hypocalcaemia; requirement thyroxine replacement therapy; effective, given that indication majority instances. second [6] large prospective study incidence factors post-thyroidectomy hypocalcaemia 2,631 from 39 Italian centres thyroidectomy (excluding Graves’ disease) 7-month demonstrated 28.8 0.9 temporary long-term hypocalcaemia, respectively. Variables found be associated with