{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:49:05Z","timestamp":1787032145763,"version":"build-2736575974"},"reference-count":24,"publisher":"Index Copernicus","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2017,4,30]]},"abstract":"<jats:p>Introduction: Thyroidectomy is a\u00a0common surgery performed especially in treatment of multinodular goitre. The most common post-thyroidectomy complication is a\u00a0postoperative hypocalcaemia, and the percentage of postoperative hypoparathyroidism could reach even 50%. Tested group and methods: A\u00a0forward-looking, randomized testing was done on a\u00a0group of 113 women being subject to multinodular goitre surgery. In this article, we wish to present an analysis of the results obtained in the control group, focusing on the predicative factors which determine the development of postoperative hypocalcaemia. Obtained results: The rate of postoperative biochemical hypocalcaemia development was significantly higher in the group of patients, where the preoperative calcium concentration was lower than 2,4 mmol\/l. In that group, the development of biochemical hypocalcaemia was observed in 93,7% of cases (30 out of 32 patients), in comparison with 65,3% (17 out of 26) in the group of higher preoperative concentration of calcium. The highest risk of occurrence of postoperative hypocalcaemia was borne by\u00a0the total thyroidectomy, while the lowest one by\u00a0the subtotal thyroid lobectomy of one lobe only. Conclusions: A\u00a0higher preoperative concentration of calcium in blood serum is related to the lower rate of occurrence of postoperative biochemical hypocalcaemia. However, no such correlation was revealed in the case of postoperative symptomatic hypocalcaemia. Lack of correlation was determined between the preoperative concentration of TSH and FT4 in blood serum and the\u00a0rate of occurrence of postoperative hypocalcaemia, both symptomatic and asymptomatic. The performed statistics did not reveal a\u00a0relation between the postoperative hypocalcaemia and the duration of the surgery, but a\u00a0significant correlation was stated with the scope of the performed surgery. Revealing a\u00a0relation between the rate of occurrence of postoperative hypocalcaemia and the experience of the surgeon performing the surgery was not successful.<\/jats:p>","DOI":"10.5604\/01.3001.0009.8977","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T05:22:27Z","timestamp":1526966547000},"page":"26-30","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of factors affecting the development of hypocalcaemia after multinodular goitre surgery"],"prefix":"10.5604","volume":"89","author":[{"given":"Piotr","family":"Papaj","sequence":"first","affiliation":[{"name":"Beskid Centre of Oncology - City Hospital named after John Paul II in Bielsko-Bia\u0142a, General Surgery Ward. Adress: 21 Wyspianskiego street, 43-300 Bielsko-Biala, Poland] Ward supervisor: dr J\u00f3zef Wr\u00f3bel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u0142awomir","family":"Kozie\u0142","sequence":"additional","affiliation":[{"name":"2 University of Bielsko-Bia\u0142a, Faculty of Health Sciences, Dean: dr Rafa\u0142 Bobi\u0144ski Wydzia\u0142 Nauk o\u00a0Zdrowiu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u0142awomir","family":"Mrowiec","sequence":"additional","affiliation":[{"name":"3 University Reaserch Hospital named after professor Kornel Gibi\u0144ski of the Medical Univeristy of Silesia in Katowice, Ward of Alimentary Canal Surgery, Ward supervisor prof. Pawe\u0142 lampe."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"145481r1","unstructured":"Bunyami O., Mufide N.A., Gungor A. et al.: Eurasian J. 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Surg. 1996; 223: 472\u2013478. 7 Lorente-Poch L., Sancho J.J., Mu\u00f1oz-Nova J.L. et al.: Defining the syndromes ofparathyroid failure after total thyroidectomy. Gland. Surg. 2015: 4 (1): 82\u201390.doi: 10.3978\/j.issn.2227-684X.2014.12.04"},{"key":"145481r7","unstructured":"Lorente-Poch L., Sancho J.J., Mu\u00f1oz-Nova J.L. et al.: Defining the syndromes of parathyroid failure after total thyroidectomy. Gland. Surg. 2015: 4 (1): 82\u201390. doi: 10.3978\/j.issn.2227-684X.2014.12.04"},{"key":"145481r8","doi-asserted-by":"crossref","unstructured":"Aggeli C., Zografos G.N., Nixon A.et al.: Postoperative hypoparathyroidismafter thyroid surgery. Preservation of the parathyroid glands. The role ofpostoperative parathormone measurement as a\u00a0predictor of hypocalcaemia.Hellenic Journal of Surgery. 2015; 87: 106\u2013110.","DOI":"10.1007\/s13126-015-0193-6"},{"key":"145481r9","unstructured":"Lorente-Poch L.J., Sancho J., Luis Mu\u00f1oz-Nova J. et al. Gland Surgery2015; 4 (1): 82\u201390."},{"key":"145481r10","unstructured":"Hadker N., Egan J., Sanders J. et al.: Understanding the burden of illnessassociated with hypoparathyroidism reported among patients in the paradoxstudy. Endocr. Pract. 2014; 20: 671\u2013679."},{"key":"145481r11","unstructured":"Shiryazdi M., Kargar M., Afkhami-Ardekani M. et al. Acta Medica Iranica,Vol. 52, No. 3 (2014) 209."},{"key":"145481r12","unstructured":"Dedivitis R.A., Pfuetzenreiter E.G. Jr., Nardi C.E. et al.: Prospective studyof clinical and laboratorial hypocalcemia after thyroid surgery. Braz. J.Otorhinolaryngol. 2010; 76 (1): 71\u201377."},{"key":"145481r13","unstructured":"Erbil Y., Barbaros U., Ozbey N.et al.: Risk factors of incidental parathyroidectomyafter thyroidectomy for benign thyroid disorders. Int. J. 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