@article {44029,
	title = {Unintentional parathyroidectomy during total thyroidectomy.},
	journal = {Head Neck},
	volume = {30},
	year = {2008},
	month = {2008 Apr},
	pages = {497-502},
	abstract = {BACKGROUND: Unintentional parathyroidectomy during thyroidectomy has been evaluated in a few studies. Moreover, the impact of the surgeon{\textquoteright}s experience and operative technique has not been evaluated. Our aim was to identify the incidence of unintentional parathyroidectomy during total thyroidectomy, its clinical consequences, and factors affecting its occurrence.

METHODS: We reviewed all total thyroidectomies during a 2-year period. Patients were categorized into 2 groups: those with unintentional parathyroidectomy (parathyroidectomy group) and those without unintentional parathyroidectomy (no-parathyroidectomy group).

RESULTS: Incidental parathyroidectomy occurred in 100 (19.7\%) of the 508 patients. The groups were comparable in age, thyroid weight and pathology, operative time, surgeon experience (high/low volume), operative technique (suture-ligation, LigaSure, or Ultracision), postoperative calcium, and transient hypocalcemia. No permanent hypocalcemia occurred. However, 11\% of the parathyroidectomy group was men compared with 22\% of the no-parathyroidectomy group (p =.002).

CONCLUSIONS: Unintentional parathyroidectomy, although common, has no clinical consequences. Unlike surgeon{\textquoteright}s experience and operative technique, patient sex was the only factor affecting its occurrence.},
	keywords = {Clinical Competence, Female, Humans, Intraoperative Complications, Male, Middle Aged, Parathyroidectomy, Prospective Studies, Retrospective Studies, Sex Distribution, Thyroidectomy},
	issn = {1043-3074},
	doi = {10.1002/hed.20728},
	author = {Manouras, Andreas and Markogiannakis, Haridimos and Lagoudianakis, Emmanuel and Antonakis, Pantelis and Genetzakis, Michael and Papadima, Artemis and Konstantoulaki, Eleftheria and Papanikolaou, Dimitrios and Kekis, Panagiotis}
}
