RESUMO
BACKGROUND: Hypocalcemia is one of the most common complications after total thyroidectomy. Recently, indocyanine green (ICG) angiography of the parathyroid glands (PGs) has been suggested as a reliable tool for predicting postoperative hypocalcemia. The aim of our study was to evaluate the performance of a simple quantitative score based on ICG angiography of the PGs (4-ICG score) for predicting postoperative hypocalcemia. METHODS: Thirty nine consecutive patients who underwent total thyroidectomy for multinodular goiter were included. For each patient, the 4-ICG score was calculated, adding the individual viability value of the four PGs. Discrimination and correlation analyses were performed. RESULTS: In 32/39 patients, the four PGs were identified. Patients with postoperative hypocalcemia (nâ¯=â¯6, 19%) had a lower 4-ICG score (2.5 [1.8-3.3] vs. 4.0 [3.0-6.0]; pâ¯=â¯0.003). The 4-ICG score showed good discrimination in terms of predicting postoperative hypocalcemia (AUCâ¯=â¯0.875 (0.710-0.965); pâ¯=â¯0.001) and a good correlation with postoperative parathyroid function. CONCLUSIONS: The 4-ICG score predicts postoperative hypocalcemia and correlates well with postoperative parathyroid function in patients undergoing total thyroidectomy for multinodular goiter.
Assuntos
Angiografia/métodos , Hipocalcemia/etiologia , Glândulas Paratireoides/irrigação sanguínea , Glândulas Paratireoides/diagnóstico por imagem , Tireoidectomia/efeitos adversos , Adulto , Idoso , Corantes , Feminino , Humanos , Verde de Indocianina , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos TestesRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Obstrução Intestinal/complicações , Divertículo/complicações , Volvo Intestinal/diagnóstico , Doenças do Jejuno/complicações , Achados Incidentais , Divertículo/cirurgiaRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Seroma/diagnóstico , Artéria Femoral/cirurgia , Anastomose Arteriovenosa , Procedimentos EndovascularesRESUMO
No disponible