{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:44:40Z","timestamp":1788864280114,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,6,22]],"date-time":"2005-06-22T00:00:00Z","timestamp":1119398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2005,7]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> To prevent postoperative hypoparathyroidism following total thyroidectomy, the parathyroid glands are preserved <jats:italic>in\u2003situ<\/jats:italic> and\/or resected or devascularized parathyroid glands are autotransplanted. A retrospective investigation was conducted utilizing biochemical and specific endocrine assessments to evaluate the difference in recovery of parathyroid function in the long term.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> A total of 103 patients underwent total thyroidectomy at Second Department of Surgery, School of Medicine, Kagawa University between 1990 and 1998. These patients were divided into a preservation group (<jats:italic>n<\/jats:italic>\u2003=\u200317), with only preserved glands <jats:italic>in\u2003situ<\/jats:italic>; a combination group (<jats:italic>n<\/jats:italic>\u2003=\u200372), consisting of patients with one or more parathyroid glands preserved <jats:italic>in situ<\/jats:italic> and one or more autotransplanted parathyroid glands; and an autotransplantation group (<jats:italic>n<\/jats:italic>\u2003=\u200314), with only transplanted glands.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> The overall incidence of permanent hypoparathyroidism in the preservation group, the combination group, and the autotransplantation group was 0%, 1.4%, and 21.4%, respectively. The mean levels of intact parathyroid hormone in the preservation group, the combination group, and the autotransplantation group recovered to 102%, 107%, and 50% of the preoperative levels at 5\u2010year follow up.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> The results of the present study suggest that parathyroid glands should be preserved <jats:italic>in situ<\/jats:italic> whenever possible, to promote better recovery of postoperative function, and that only autotransplantation produces inadequate recovery of long\u2010term function.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2005.03435.x","type":"journal-article","created":{"date-parts":[[2005,6,22]],"date-time":"2005-06-22T12:12:15Z","timestamp":1119442335000},"page":"532-536","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":68,"title":["Recovery of parathyroid function after total thyroidectomy: Long\u2010term follow\u2010up study"],"prefix":"10.1111","volume":"75","author":[{"given":"Minoru","family":"Kihara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Miyauchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichi","family":"Kontani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Yamauchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyasu","family":"Yokomise","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,6,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/01945998941113P115"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80085-6"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199605000-00003"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655238"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198912000-00005"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90435-6"},{"key":"e_1_2_6_8_2","first-page":"1088","article-title":"Ipsilateral lobectomy versus bilateral lobar resection in papillary thyroid carcinoma: a retrospective analysis of surgical outcome using a novel prognostic scoring system","volume":"102","author":"Hay ID","year":"1987","journal-title":"Surgery"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02503.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.2930460106"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(97)90618-7"},{"key":"e_1_2_6_12_2","first-page":"92","article-title":"Our technique of parathyroid autotransplantation in operation for papillary thyroid carcinoma","volume":"114","author":"Funahashi H","year":"1993","journal-title":"Surgery"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005950050596"},{"key":"e_1_2_6_14_2","first-page":"913","article-title":"The continuing development of the technique of thyroidectomy","volume":"73","author":"Thompson NW","year":"1973","journal-title":"Surgery"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.4.5893.643"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2003.61"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-65-3-407"},{"key":"e_1_2_6_18_2","first-page":"926","article-title":"Studies in patients with hyperparathyroidism using a new two\u2010site immunochemiluminometric assay for circulating intact (1\u221284) parathyroid hormone","volume":"102","author":"Curley IR","year":"1987","journal-title":"Surgery"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02067367"},{"key":"e_1_2_6_20_2","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1093\/labmed\/26.9.599","article-title":"Parathyroid hormone. 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