Parathyroid function following total thyroidectomy using energy devices

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dc.contributor.authorCiftci, Fatih
dc.contributor.authorSakalli, Erdal
dc.contributor.authorAbdurrahman, İbrahim
dc.contributor.authorGuler, Burak
dc.date.accessioned2024-09-11T19:50:11Z
dc.date.available2024-09-11T19:50:11Z
dc.date.issued2016
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractLigaSure precise (LP) and harmonic scalpel (HS) are two energy-based devices used in thyroidectomy surgery. We aimed to compare the effect of these two devices in patients who had undergone total thyroidectomy, by highlighting the post-operative parathyroid function. A total of 201 consecutive patients for whom total thyroidectomy had been planned were prospectively classified into two groups. There were 104 patients in LP group and 97 patients in HS group. Hypoparathyroidism was followed up by serially measuring the levels of intact parathyroid hormone (iPTH) and serum calcium. The early iPTH level was 29 (8-50) pg/mL in group LP, and 17 (4-43) pg/mL in group HS. The early iPTH level was significantly lower in the HS group (p < 0.001). However, these levels were within the reference interval in both groups. The early iPTH level was lower than 20 pg/mL in 23 (23.1 %) patients in HS group, and 15 (13.7 %) patients in LP group (p < 0.001). Also, the late iPTH levels were not statistically significance between two groups. The early and late serum calcium levels were not statistically significant between groups. However, the amount of calcium replacement was higher in the HS group than the LP group and the duration of treatment was longer in the HS group than the LP group (p < 0.05). In conclusion, although parathyroid hormone levels impaired in the HS group more than LP group in the early period, these levels were in the normal limits in both groups. These levels were not significant between groups in the long time period.en_US
dc.identifier.doi10.1007/s00405-015-3704-8
dc.identifier.endpage1911en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue7en_US
dc.identifier.pmid26141753en_US
dc.identifier.scopus2-s2.0-84975743982en_US
dc.identifier.startpage1905en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-015-3704-8
dc.identifier.urihttps://hdl.handle.net/11363/7581
dc.identifier.volume273en_US
dc.identifier.wosWOS:000377413500034en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240903_Gen_US
dc.subjectThyroidectomyen_US
dc.subjectHypocalcemiaen_US
dc.subjectHarmonic scalpelen_US
dc.subjectLigaSureen_US
dc.subjectHypoparathyroidismen_US
dc.titleParathyroid function following total thyroidectomy using energy devicesen_US
dc.typeArticleen_US

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