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Article: Parathyroid autotransplantation during thyroidectomy: is frozen section necessary?

TitleParathyroid autotransplantation during thyroidectomy: is frozen section necessary?
Authors
Issue Date1999
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
Citation
Archives of Surgery, 1999, v. 134 n. 3, p. 258-260 How to Cite?
AbstractOBJECTIVE: To evaluate the accuracy of parathyroid gland identification and the need for routine frozen section examination before parathyroid autotransplantation during thyroidectomy. DESIGN: A prospective case series. SETTING: An endocrine surgical unit. PATIENTS: From January 1, 1995, to December 31, 1997, parathyroid autotransplantation was attempted for devascularized or inadvertently removed glands in 152 (33.7%) of 450 patients during thyroidectomy. Before autotransplantation, a biopsy specimen of the transplanted tissue was sent for histological examination without frozen section confirmation. MAIN OUTCOME MEASURES: Positive identification of parathyroid tissue in microscopic examination. RESULTS: Of 179 attempted autotransplantations of parathyroid glands, parathyroid tissue was confirmed in 167 biopsy specimens (93.3%). Incorrect identification of parathyroid gland occurred in 12 instances. The tissue mistaken as parathyroid gland included fat in 6 cases, thyroid tissue in 4 cases, lymph node in 1 case, and thymus in 1 case. Transplantation of at least 1 parathyroid gland (range, 1-3) was confirmed in 144 patients. For patients with confirmed parathyroid autotransplantation at risk of hypoparathyroidism (n = 112), postoperative transient hypocalcemia occurred in 22 (19.6%), while no patient developed any permanent hypocalcemia during a median follow-up of 6 months. CONCLUSIONS: Devascularized or inadvertently removed parathyroid glands can be identified expeditiously without routine frozen section during thyroid surgery. Immediate autotransplantation should be performed and permanent hypoparathyroidism can be avoided with this measure.
Persistent Identifierhttp://hdl.handle.net/10722/49412
ISSN
2014 Impact Factor: 4.926
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLo, CYen_HK
dc.contributor.authorLam, KYen_HK
dc.date.accessioned2008-06-12T06:41:56Z-
dc.date.available2008-06-12T06:41:56Z-
dc.date.issued1999en_HK
dc.identifier.citationArchives of Surgery, 1999, v. 134 n. 3, p. 258-260en_HK
dc.identifier.issn0004-0010en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49412-
dc.description.abstractOBJECTIVE: To evaluate the accuracy of parathyroid gland identification and the need for routine frozen section examination before parathyroid autotransplantation during thyroidectomy. DESIGN: A prospective case series. SETTING: An endocrine surgical unit. PATIENTS: From January 1, 1995, to December 31, 1997, parathyroid autotransplantation was attempted for devascularized or inadvertently removed glands in 152 (33.7%) of 450 patients during thyroidectomy. Before autotransplantation, a biopsy specimen of the transplanted tissue was sent for histological examination without frozen section confirmation. MAIN OUTCOME MEASURES: Positive identification of parathyroid tissue in microscopic examination. RESULTS: Of 179 attempted autotransplantations of parathyroid glands, parathyroid tissue was confirmed in 167 biopsy specimens (93.3%). Incorrect identification of parathyroid gland occurred in 12 instances. The tissue mistaken as parathyroid gland included fat in 6 cases, thyroid tissue in 4 cases, lymph node in 1 case, and thymus in 1 case. Transplantation of at least 1 parathyroid gland (range, 1-3) was confirmed in 144 patients. For patients with confirmed parathyroid autotransplantation at risk of hypoparathyroidism (n = 112), postoperative transient hypocalcemia occurred in 22 (19.6%), while no patient developed any permanent hypocalcemia during a median follow-up of 6 months. CONCLUSIONS: Devascularized or inadvertently removed parathyroid glands can be identified expeditiously without routine frozen section during thyroid surgery. Immediate autotransplantation should be performed and permanent hypoparathyroidism can be avoided with this measure.en_HK
dc.format.extent420 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.comen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshFrozen Sectionsen_HK
dc.subject.meshParathyroid Glands - transplantationen_HK
dc.subject.meshPreoperative Careen_HK
dc.subject.meshThyroidectomyen_HK
dc.subject.meshAdolescenten_HK
dc.titleParathyroid autotransplantation during thyroidectomy: is frozen section necessary?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-0010&volume=134&issue=3&spage=258&epage=260&date=1999&atitle=Parathyroid+autotransplantation+during+thyroidectomy:+is+frozen+section+necessary?en_HK
dc.identifier.emailLo, CY: cylo@hkucc.hku.hken_HK
dc.identifier.emailLam, KY: akylam@hkucc.hku.hken_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid10088564en_HK
dc.identifier.scopuseid_2-s2.0-0345471472-
dc.identifier.hkuros39746-
dc.identifier.isiWOS:000079087400006-

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