Iatrogenic Parathyroidectomy and Affecting Factors During Thyroid Surgery

Atakan Özkan

Makale detayları

Iatrogenic Parathyroidectomy and Affecting Factors During Thyroid Surgery

Yazarlar:

Atakan Özkan

Yayıncı:

Kafkas University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.15 Issue 2, pp.242-246

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357913

pISSN:

2146-2631

Anahtar kelimeler:

Özet:

 Aim: This study aimed to investigate cases of iatrogenic parathyroidectomy following thyroid surgery and to analyze the causes. Material and Methods: A total of 287 patients diagnosed with thyroid-related disorders and surgically treated at various clinics of Private Esencan Hospital between 2019 and 2023 were included in the study. Preoperative ultrasound imaging results and data on patients with multinodular goiter presenting a dominant nodule larger than 4 cm in diameter were recorded, specifically noting the presence of thyroiditis. Thyroid tissues obtained during surgery were examined histopathologically in the pathology laboratory, and the presence of thyroid malignancy and parathyroid tissue was confirmed. Results: The mean age of the patients was 55.617.3 years, ranging from 18 to 83 years, and 154 55.4 were male. Iatrogenic parathyroidectomy was identified in 26 9.4 of the patients. The rate of iatrogenic parathyroidectomy was significantly higher in patients with thyroid malignancy compared to those without 13.9 vs. 5.8; p0.02. Patients with thyroiditis also had a higher rate of iatrogenic parathyroidectomy than those without 18.2 vs. 7.2; p0.012. Additionally, patients with a dominant nodule diameter showed a significantly increased rate of iatrogenic parathyroidectomy compared to those without 27.0 vs. 6.6; p0.001. In the logistic regression analysis, the presence of thyroid malignancy p0.024, thyroiditis p0.015, and dominant nodule diameter p0.001 were identified as independent risk factors for developing iatrogenic parathyroidectomy. Conclusion: Our study shows that the risk of iatrogenic parathyroidectomy is significantly higher, especially in patients with thyroiditis, thyroid malignancy, or large nodules. These patients should be handled more carefully during surgery and should be considered for surgical treatment.

 Aim: This study aimed to investigate cases of iatrogenic parathyroidectomy following thyroid surgery and to analyze the causes. Material and Methods: A total of 287 patients diagnosed with thyroid-related disorders and surgically treated at various clinics of Private Esencan Hospital between 2019 and 2023 were included in the study. Preoperative ultrasound imaging results and data on patients with multinodular goiter presenting a dominant nodule larger than 4 cm in diameter were recorded, specifically noting the presence of thyroiditis. Thyroid tissues obtained during surgery were examined histopathologically in the pathology laboratory, and the presence of thyroid malignancy and parathyroid tissue was confirmed. Results: The mean age of the patients was 55.617.3 years, ranging from 18 to 83 years, and 154 55.4 were male. Iatrogenic parathyroidectomy was identified in 26 9.4 of the patients. The rate of iatrogenic parathyroidectomy was significantly higher in patients with thyroid malignancy compared to those without 13.9 vs. 5.8; p0.02. Patients with thyroiditis also had a higher rate of iatrogenic parathyroidectomy than those without 18.2 vs. 7.2; p0.012. Additionally, patients with a dominant nodule diameter showed a significantly increased rate of iatrogenic parathyroidectomy compared to those without 27.0 vs. 6.6; p0.001. In the logistic regression analysis, the presence of thyroid malignancy p0.024, thyroiditis p0.015, and dominant nodule diameter p0.001 were identified as independent risk factors for developing iatrogenic parathyroidectomy. Conclusion: Our study shows that the risk of iatrogenic parathyroidectomy is significantly higher, especially in patients with thyroiditis, thyroid malignancy, or large nodules. These patients should be handled more carefully during surgery and should be considered for surgical treatment.

 Aim: This study aimed to investigate cases of iatrogenic parathyroidectomy following thyroid surgery and to analyze the causes. Material and Methods: A total of 287 patients diagnosed with thyroid-related disorders and surgically treated at various clinics of Private Esencan Hospital between 2019 and 2023 were included in the study. Preoperative ultrasound imaging results and data on patients with multinodular goiter presenting a dominant nodule larger than 4 cm in diameter were recorded, specifically noting the presence of thyroiditis. Thyroid tissues obtained during surgery were examined histopathologically in the pathology laboratory, and the presence of thyroid malignancy and parathyroid tissue was confirmed. Results: The mean age of the patients was 55.617.3 years, ranging from 18 to 83 years, and 154 55.4 were male. Iatrogenic parathyroidectomy was identified in 26 9.4 of the patients. The rate of iatrogenic parathyroidectomy was significantly higher in patients with thyroid malignancy compared to those without 13.9 vs. 5.8; p0.02. Patients with thyroiditis also had a higher rate of iatrogenic parathyroidectomy than those without 18.2 vs. 7.2; p0.012. Additionally, patients with a dominant nodule diameter showed a significantly increased rate of iatrogenic parathyroidectomy compared to those without 27.0 vs. 6.6; p0.001. In the logistic regression analysis, the presence of thyroid malignancy p0.024, thyroiditis p0.015, and dominant nodule diameter p0.001 were identified as independent risk factors for developing iatrogenic parathyroidectomy. Conclusion: Our study shows that the risk of iatrogenic parathyroidectomy is significantly higher, especially in patients with thyroiditis, thyroid malignancy, or large nodules. These patients should be handled more carefully during surgery and should be considered for surgical treatment.

 Aim: This study aimed to investigate cases of iatrogenic parathyroidectomy following thyroid surgery and to analyze the causes. Material and Methods: A total of 287 patients diagnosed with thyroid-related disorders and surgically treated at various clinics of Private Esencan Hospital between 2019 and 2023 were included in the study. Preoperative ultrasound imaging results and data on patients with multinodular goiter presenting a dominant nodule larger than 4 cm in diameter were recorded, specifically noting the presence of thyroiditis. Thyroid tissues obtained during surgery were examined histopathologically in the pathology laboratory, and the presence of thyroid malignancy and parathyroid tissue was confirmed. Results: The mean age of the patients was 55.617.3 years, ranging from 18 to 83 years, and 154 55.4 were male. Iatrogenic parathyroidectomy was identified in 26 9.4 of the patients. The rate of iatrogenic parathyroidectomy was significantly higher in patients with thyroid malignancy compared to those without 13.9 vs. 5.8; p0.02. Patients with thyroiditis also had a higher rate of iatrogenic parathyroidectomy than those without 18.2 vs. 7.2; p0.012. Additionally, patients with a dominant nodule diameter showed a significantly increased rate of iatrogenic parathyroidectomy compared to those without 27.0 vs. 6.6; p0.001. In the logistic regression analysis, the presence of thyroid malignancy p0.024, thyroiditis p0.015, and dominant nodule diameter p0.001 were identified as independent risk factors for developing iatrogenic parathyroidectomy. Conclusion: Our study shows that the risk of iatrogenic parathyroidectomy is significantly higher, especially in patients with thyroiditis, thyroid malignancy, or large nodules. These patients should be handled more carefully during surgery and should be considered for surgical treatment.

Makale detayları

Iatrogenic Parathyroidectomy and Affecting Factors During Thyroid Surgery

Yazarlar:

Atakan Özkan

Yayıncı:

Kafkas University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.15 Issue 2, pp.242-246

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357913

pISSN:

2146-2631

thyroid surgery

thyroidectomy

iatrogenic parathyroidectomy

malignancy; thyroiditis; hypocalcemia

Sayı

Makale detayları

Iatrogenic Parathyroidectomy and Affecting Factors During Thyroid Surgery

Yazarlar: Atakan Özkan

Yayıncı: Kafkas University

Ana Başlıklar: Cerrahi (Diğer)

Dergi: Kafkas Tıp Bilimleri Dergisi Vol.15 Issue 2, pp.242-246

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357913

pISSN: 2146-2631

thyroid surgery

thyroidectomy

iatrogenic parathyroidectomy

malignancy; thyroiditis; hypocalcemia

Sayı

Yazarlar:

Atakan Özkan

Yayıncı:

Kafkas University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.15 Issue 2, pp.242-246

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357913

pISSN:

2146-2631