Postoperative Hypocalcemia Following Total Thyroidectomy Versus Completion Thyroidectomy.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 42576168.
- Also identified by DOI 10.1002/lary.70809.
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Abstract
Completion thyroidectomy performed with at least a three-month interval demonstrates superior parathyroid preservation compared to primary total thyroidectomy, as evidenced by significantly higher postoperative parathyroid hormone levels (51.90 ± 30.26 pg/mL vs. 30.90 ± 17.10 pg/mL, p = 0.006). Postoperative calcium supplementation requirements were significantly lower in the completion thyroidectomy cohort compared to the total thyroidectomy group (4.2% vs. 25.0%, p = 0.049). A staged surgical approach provides a clear functional advantage in preserving parathyroid health and reducing the risk of transient hypocalcemia.