[Parathyroid autotransplantation during expanded total thyroidectomy for cancer].
Autotransplantation of the parathyroid gland was performed in 28 out of 95 patients undergoing total thyroidectomy for carcinoma. The autotransplantation was supplementary in 15 patients who kept at least one parathyroid gland in the neck and substitutive in 12 patients who had total cervical parathyroidectomy. After 1 to 30 months' follow-up none of these patients had signs of hypoparathyroidism. The incidence of permanent hypothyroidism after total thyroidectomy was reduced from 7% to 2.1%. However, autotransplantation should be considered as a means of saving any cervical parathyroid that cannot be preserved and has been shown by histopathological examination to have escaped invasion by the carcinoma.
D000328:Adult; D000368:Aged; D001132:Arm / Q000601:surgery; D002277:Carcinoma / Q000601:surgery; D005260:Female; D006801:Humans; D007011:Hypoparathyroidism / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000098:blood supply / Q000601:surgery / Q000637:transplantation*; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects* / Q000379:methods
Autotransplantation parathyroïdienne au cours des thyroïdectomies totales élargies pour cancer.