title: Incidental parathyroidectomy during thyroid surgery: risk factors, incidence, and outcomes.
abstract: OBJECTIVE
  Incidental removal of the parathyroid glands is common in some cases. In this trial, we investigated the risk factors, incidence, and outcomes associated with incidental excision of the parathyroid glands during thyroid surgery.
  
  
  METHODS
  The records of patients who had undergone thyroid surgery in our department between January 2006 and December 2011 were retrospectively evaluated.
  
  
  RESULTS
  A total of 801 patients were enrolled in the trial. The number of incidental parathyroidectomies was determined as 19 (2.3%). Statistical evaluation revealed that sex (P > 0.05) and type of surgical operation (P > 0.05) were not associated with a significant impact on incidental parathyroidectomies. However, the rate of incidental parathyroidectomies was determined to be statistically significantly high among patients with malignant conditions (P < 0.05). Hypocalcemia was observed to be statistically significant in patients with an incidental parathyroidectomy (P < 0.05).
  
  
  CONCLUSIONS
  Incidental parathyroidectomy is a rare condition in centers specializing in endocrine surgery. Furthermore, the parathyroid glands should always be explored during dissection in patients with malignancies. The clinical manifestation of hypocalcemia is a common condition observed after incidental parathyroidectomy.
authors.affiliation: Department of General Surgery, Atatürk University, Erzurum, Turkey bozogul57@hotmail.com
authors.forename: Bünyami
authors.initials: B
authors.lastname: Ozoğul
authors.forename: Müfide
authors.initials: M
authors.lastname: Nuran Akçay
authors.forename: Abdullah
authors.initials: A
authors.lastname: Kisaoğlu
authors.forename: Sabri Selcuk
authors.initials: SS
authors.lastname: Atamanalp
authors.forename: Gürkan
authors.initials: G
authors.lastname: Oztürk
authors.forename: Bülent
authors.initials: B
authors.lastname: Aydinli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016105:Parathyroidectomy; D012307:Risk Factors; D013965:Thyroidectomy / Q000009:adverse effects*; D016896:Treatment Outcome