Table V.
NIH operations in 163 patients
| n | ||
|---|---|---|
| Total operations | 163 | |
| Total procedures | 169 | |
| Neck procedures | 151 | |
| Exploration | ||
| Unilateral | 140 | |
| Bilateral | 11 | |
| Incision | ||
| Transcervical | 119 | |
| Along sternocleidomastoid muscle | 32 | |
| Mediastinal procedures | 18 | |
| Median sternotomy | 11 | |
| Thoracotomy | 4 | |
| Thoracoscopy* | 2 | |
| Mediastinoscopy* | 1 | |
| Additional procedures | ||
| Thyroid lobectomy | 9 | |
| Subtotal or total thyroidectomy | 0 | |
| Thymectomy | 44 | |
| Transcervical | 32 | |
| Mediastinal approach | 12 | |
| Immediate autograft | 9 | |
| Removal of autograft | 0 | |
| Intra-operative intact PTH | ||
| Number of patients tested | 127 | |
| Mean baseline (± SEM) | 213 (26) | |
| Mean last value (± SEM) | 24.4 (2.7) | |
| Mean -%Δ (± SEM) | 83.9 (1.4) | |
| Complication (N = 163) | n | % |
| Recurrent laryngeal nerve injury | ||
| Temporary | 6 | 3.7 |
| Permanent | 3 | 1.8 |
| Pneumonia | 2 | 1 |
| Wound infection | 1 | 0.6 |
| Peri-operative deaths | 0 | 0 |
| Severe hypocalcemia | ||
| Requiring Vitamin D analog | 47 | 29 |
| Requiring intravenous calcium | 6 | 3.7 |
| Requiring subsequent autografts | 6 | 3.7 |
*
One thoracoscopy and 1 mediastinoscopy each were converted to thoracotomy for technical reasons.