Incidencia de hipocalcemia pos tiroidectomía total

Background: Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the proc...

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Autores principales:	Gac E,Patricio, Cabané T,Patricio, Amat V,José, Huidobro G,Felipe, Rossi F,Ricardo, Rodríguez F,Francisco, Ferrada V,Carlos, Cardemil R,Francisco
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Hypocalcemia Thyroidectomy Thyroid diseases
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100004
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spelling	oai:scielo:S0034-988720070001000042014-01-06Incidencia de hipocalcemia pos tiroidectomía totalGac E,PatricioCabané T,PatricioAmat V,JoséHuidobro G,FelipeRossi F,RicardoRodríguez F,FranciscoFerrada V,CarlosCardemil R,Francisco Hypocalcemia Thyroidectomy Thyroid diseases Background: Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the procedure of choice in our hospital for benign and malignant thyroid disease, but it can increase the incidence of complications. Aim: To evaluate the incidence of postoperative hypocalcemia in patients subjected to a total thyroidectomy. Material and methods: Two studies were performed. A retrospective review of medical records of 448 patients subjected to total thyroidectomy, looking for serum calcium levels of less than 8 mg/dl and clinical signs of hypocalcemia. In a second study, 45 patients were followed with measurements of preoperative and postoperative serum calcium levels. Results: In the retrospective study, only 136 records had reliable information. Clinical signs of hypocalcemia were registered in 14% of patients and a low serum calcium level was detected in 50%. In the prospective study, 42% of patients had a postoperative low serum calcium level and seven patients (15%) had symptoms. Patients were handled with oral calcium and calcitriol in some cases. Ninety nine percent of patients had normal serum calcium levels two moths after surgery. Conclusions: In this series, the rate of postoperative hypocalcemia after total thyroidectomy is similar to internaitonal reportsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.1 20072007-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100004es10.4067/S0034-98872007000100004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hypocalcemia Thyroidectomy Thyroid diseases
spellingShingle	Hypocalcemia Thyroidectomy Thyroid diseases Gac E,Patricio Cabané T,Patricio Amat V,José Huidobro G,Felipe Rossi F,Ricardo Rodríguez F,Francisco Ferrada V,Carlos Cardemil R,Francisco Incidencia de hipocalcemia pos tiroidectomía total
description	Background: Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the procedure of choice in our hospital for benign and malignant thyroid disease, but it can increase the incidence of complications. Aim: To evaluate the incidence of postoperative hypocalcemia in patients subjected to a total thyroidectomy. Material and methods: Two studies were performed. A retrospective review of medical records of 448 patients subjected to total thyroidectomy, looking for serum calcium levels of less than 8 mg/dl and clinical signs of hypocalcemia. In a second study, 45 patients were followed with measurements of preoperative and postoperative serum calcium levels. Results: In the retrospective study, only 136 records had reliable information. Clinical signs of hypocalcemia were registered in 14% of patients and a low serum calcium level was detected in 50%. In the prospective study, 42% of patients had a postoperative low serum calcium level and seven patients (15%) had symptoms. Patients were handled with oral calcium and calcitriol in some cases. Ninety nine percent of patients had normal serum calcium levels two moths after surgery. Conclusions: In this series, the rate of postoperative hypocalcemia after total thyroidectomy is similar to internaitonal reports
author	Gac E,Patricio Cabané T,Patricio Amat V,José Huidobro G,Felipe Rossi F,Ricardo Rodríguez F,Francisco Ferrada V,Carlos Cardemil R,Francisco
author_facet	Gac E,Patricio Cabané T,Patricio Amat V,José Huidobro G,Felipe Rossi F,Ricardo Rodríguez F,Francisco Ferrada V,Carlos Cardemil R,Francisco
author_sort	Gac E,Patricio
title	Incidencia de hipocalcemia pos tiroidectomía total
title_short	Incidencia de hipocalcemia pos tiroidectomía total
title_full	Incidencia de hipocalcemia pos tiroidectomía total
title_fullStr	Incidencia de hipocalcemia pos tiroidectomía total
title_full_unstemmed	Incidencia de hipocalcemia pos tiroidectomía total
title_sort	incidencia de hipocalcemia pos tiroidectomía total
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100004
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Incidencia de hipocalcemia pos tiroidectomía total

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