Surgical Hypoparathyroidism

被引：44
作者：
Kazaure, Hadiza S. [1 ]
Sosa, Julie Ann [2 ]
机构：
[1] Duke Univ, Med Ctr, Duke Canc Inst, Dept Surg,Sect Endocrine Surg, Box 2945, Durham, NC 27710 USA
[2] Univ Calif San Francisco, Dept Surg, 513 Parnassus Ave,Suite S320,Box 0104, San Francisco, CA 94143 USA
来源：
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA | 2018年 / 47卷 / 04期
关键词：
Hypoparathyroidism; Parathyroid; Surgery; Hypocalcemia; Parathyroidectomy; Thyroidectomy; PARATHYROID-HORMONE; THYROID-SURGERY; PRIMARY HYPERPARATHYROIDISM; POSTOPERATIVE HYPOCALCEMIA; NECK DISSECTION; INADVERTENT PARATHYROIDECTOMY; EARLY PREDICTION; METHYLENE-BLUE; RISK-FACTORS; METAANALYSIS;
D O I：
10.1016/j.ecl.2018.07.005
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Surgical hypoparathyroidism is the most common cause of hypoparathyroidism and the result of intentional or inadvertent extirpation, trauma, or devascularization of the parathyroid glands. Surgical hypoparathyroidism may present as a medical emergency. Pediatric patients, those with Graves disease, and those undergoing extensive neck dissections or reo-perative neck surgery are at particular risk for this complication. Extensive surgical expertise, immediate or delayed autotransplantation, and prophylactic and postoperative calcium/vitamin D supplementation in select patients are associated with a reduction in the risk of surgical hypoparathyroidism. Intraoperative parathyroid imaging is among novel strategies being investigated to mitigate surgical hypoparathyroidism in the intraoperative setting.
引用
收藏
页码：783 / +
页数：15
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