Delbridge and his colleagues should be complimented on a large series of patients who underwent both subtotal and total thyroidectomy with incredibly low complication rates. Although nearly one third of their patients required 3 to 6 weeks of calcium supplementation, fewer than 0.5% developed permanent hypoparathyroidism. They attribute this extraordinary record in part to routine autotransplantation of 1 parathyroid gland at the time of total thyroidectomy. While we employ liberal use of parathyroid autotransplantation in similar circumstances, a single autotransplanted gland as the only protection for hypoparathyroidism seems optimistic.
Grant CS. Invited Critique: Total Thyroidectomy for Bilateral Benign Multinodular Goiter. Arch Surg. 1999;134(12):1393. doi:10.1001/archsurg.134.12.1393