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갑상선 전절제술 후 저칼슘혈증: 빈도 및 위험인자

Other Titles
 Hypocalcemia after Total Thyroidectomy: Incidence and Risk Factors 
Authors
 남기현  ;  윤지섭  ;  이용상  ;  정종주  ;  장항석  ;  정웅윤  ;  박정수 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.74(3) : 182-186, 2008 
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY (대한외과학회지)
ISSN
 1226-0053 
Issue Date
2008
Keywords
Hypocalcemia ; Complication ; Risk factors ; Thyroid cancer ; Total thyroidectomy
Abstract
Purpose: Postoperative hypocalcemia is a common complication of thyroidectomy. This study evaluated the incidence and risk factors for postoperative hypocalcemia after total thyroidectomy. Methods: There were 196 consecutive patients undergoing total thyroidectomy for thyroid cancer between September 2004 and February 2005 who were enrolled in this study. Patients were divided into two groups, those remaining normocalcemic (Group I) and those who had hypocalcemia requiring treatment (Group II). Group II was subdivided into a transient hypocalcemic group (Group IIA) and a permanent hypocalcemic group (Group IIB). All groups were compared with regard to age, gender, histology, coexisting disease, T stage, bilateral lesions, primary total thyroidectomy versus secondary completion thyroidectomy, extent of lymph node dissection, and autotransplantation of the parathyroid gland. Results: Among all patients, 139 (71%) were in Group I, 54 (27.5%) in Group IIA and 3 (1.5%) in Group IIB. On the multivariate analysis for risk factors compared between Group I and Group II, the T4 stage was the most significant for the development of postoperative hypocalcemia. On the univariate analysis comparing factors between Group IIA and Group IIB, the T4 stage and a complete thyroidectomy were significantly related to the development of permanent hypocalcemia. Conclusion: The results of this study showed that the incidence of transient hypocalcemia, after total thyroidectomy, was 27.5%, while permanent hypocalcemia was detected in 1.5% of cases. The parathyroid glands should be preserved more carefully to avoid postoperative hypocalcemia in patients with high risk factors including T4 tumors and complete thyroidectomy procedures
Files in This Item:
T200800153.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Yun, Ji Sup(윤지섭)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Chung, Woong Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106289
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