Stefanou Stefanos K, Koulas Spyros, Stefanou Christos K, Tepelenis Kostas, Paxinos Apostolos K, Tsiantis Thomas, Galani Vasiliki, Vlachos Konstantinos
Department of Surgery, General Hospital "G. Hatzikosta," Ioannina, Greece.
Department of Surgery, General Hospital of Filiates, Thesprotia, Greece.
J Surg Case Rep. 2021 Dec 11;2021(12):rjab500. doi: 10.1093/jscr/rjab500. eCollection 2021 Dec.
Postoperative hypoparathyroidism is a thyroidectomy complication. The effect of this complication cannot be accurately quantified. The incidence of hypoparathyroidism after total thyroidectomy has high variability in the literature, between 7 and 37%. Data from 78 patients who underwent total thyroidectomy with Tissue Dissection with Solution Injection (TDSI group) from December 2018 to August 2019 were retrospectively reviewed. These patients were compared with 78 patients to whom the technique was not applied (non-TDSI group), and they were treated from January 2018 to September 2018. All thyroidectomies were performed by the same surgeon. The mean duration of a thyroidectomy was 1 hour. The reduction of the incidence of postoperative hypoparathyroidism in the group of patients was applied in respect of the technique of tissue dissection with saline injection. TDSI technique paves the way for further application to other tissues and surgeries.
术后甲状旁腺功能减退是甲状腺切除术后的一种并发症。这种并发症的影响无法准确量化。在文献中，全甲状腺切除术后甲状旁腺功能减退的发生率差异很大，在7%至37%之间。回顾性分析了2018年12月至2019年8月期间接受组织解剖联合溶液注射甲状腺全切除术（TDSI组）的78例患者的数据。将这些患者与2018年1月至2018年9月期间未应用该技术的78例患者（非TDSI组）进行比较。所有甲状腺切除术均由同一位外科医生进行。甲状腺切除术的平均时长为1小时。就盐水注射组织解剖技术而言，患者组术后甲状旁腺功能减退的发生率有所降低。TDSI技术为进一步应用于其他组织和手术铺平了道路。
