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Parathyroid function following total thyroidectomy using energy devices

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Abstract

LigaSure precise (LP) and harmonic scalpel (HS) are two energy-based devices used in thyroidectomy surgery. We aimed to compare the effect of these two devices in patients who had undergone total thyroidectomy, by highlighting the post-operative parathyroid function. A total of 201 consecutive patients for whom total thyroidectomy had been planned were prospectively classified into two groups. There were 104 patients in LP group and 97 patients in HS group. Hypoparathyroidism was followed up by serially measuring the levels of intact parathyroid hormone (iPTH) and serum calcium. The early iPTH level was 29 (8–50) pg/mL in group LP, and 17 (4–43) pg/mL in group HS. The early iPTH level was significantly lower in the HS group (p < 0.001). However, these levels were within the reference interval in both groups. The early iPTH level was lower than 20 pg/mL in 23 (23.1 %) patients in HS group, and 15 (13.7 %) patients in LP group (p < 0.001). Also, the late iPTH levels were not statistically significance between two groups. The early and late serum calcium levels were not statistically significant between groups. However, the amount of calcium replacement was higher in the HS group than the LP group and the duration of treatment was longer in the HS group than the LP group (p < 0.05). In conclusion, although parathyroid hormone levels impaired in the HS group more than LP group in the early period, these levels were in the normal limits in both groups. These levels were not significant between groups in the long time period.

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Conflict of interest

The authors have no financial obligations to disclose related to this study.

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Author notes

    Authors and Affiliations

    1. Gelisim University, Vocational school of health services, Istanbul, Turkey

      Fatih Ciftci

    2. Department of Audiometry, Gelisim University, Vocational school of health services, Istanbul, Turkey

      Erdal Sakalli

    3. Department of Internal Medicine, Safa Private Hospital, Istanbul, Turkey

      Ibrahim Abdurrahman

    4. Department of Audiology, Gelisim University, Vocational school of health services, Istanbul, Turkey

      Burak Guler

    Authors
    1. Fatih Ciftci
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    2. Erdal Sakalli
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    3. Ibrahim Abdurrahman
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    Correspondence to Erdal Sakalli.

    Additional information

    F. Ciftci and E. Sakalli contributed equally and should be considered aequo loco.

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    Ciftci, F., Sakalli, E., Abdurrahman, I. et al. Parathyroid function following total thyroidectomy using energy devices. Eur Arch Otorhinolaryngol 273, 1905–1911 (2016). https://doi.org/10.1007/s00405-015-3704-8

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    • DOI: https://doi.org/10.1007/s00405-015-3704-8

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