[Obligatory parathyroid autotransplantation in thyroid surgery].
In a series of 301 bilateral thyroidectomies carried out over a 6 month period, immediate parathyroid autotransplantation was performed in 44 patients, i.e. 14.6%. Hypoparathyroidism was transient in 14 patients, i.e. 4.7% but was permanent in 4 patients, i.e. 1.3%. We attempted to determine the conditions justifying parathyroid autotransplantation during thyroidectomies. In our opinion parathyroid autotransplantation should be performed only to save a parathyroid gland accidentally removed or devascularized. It should not be used simply as a means of avoiding dissection no matter how long or tedious.
Henry
J F
JF
Unité Chirurgie Endocrinienne, Centre Hospitalier Universitaire de la Timone, Marseille.
Denizot
A
A
Audiffret
J
J
D006801:Humans; D007011:Hypoparathyroidism / Q000178:diet therapy / Q000209:etiology; D010279:Parathyroid Diseases / Q000601:surgery*; D011182:Postoperative Care; D013965:Thyroidectomy / Q000009:adverse effects; D014182:Transplantation, Autologous
Autotransplantation parathyroïdienne de nécessité en chirurgie thyrodienne.