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Invited Critique
December 1999

Invited Critique: Total Thyroidectomy for Bilateral Benign Multinodular Goiter

Arch Surg. 1999;134(12):1393. doi:10.1001/archsurg.134.12.1393

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.

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