DOSIFICACIÓN DE PARATOHORMONA Y CALCIO POSTOPERATORIO, TEMPRANO Y TARDÍO, EN PACIENTES SOMETIDOS A TIROIDECTOMÍA RADICAL, EN SOLCA GUAYAQUIL DESDE NOVIEMBRE 2014 HASTA NOVIEMBRE 2016.

Abstract

Papillary thyroid cancer requires surgery to achieve efficient, effective and effective treatment. It is conditioned by tumor conditions such as size or capsular infiltration. Electrical injury, involuntary or necessary extirpation of the parathyroid glands can reveal specific paresthesias, cramps or semiologic signs, including cardiac problems that arise as a result of hypoparathyroidism that will result in hypocalcemia. JUSTIFICATION Thyroid cancer is a common pathology in our setting. Our aim is to define early the patient, to present alterations of calcium metabolism, through the study of calcium and paratohormone in blood whose serial post-surgical levels will give a prognostic result of the calcium metabolism of the patient. Determining patients with indefinite consumers of exogenous calcium, and those able to dispense with exogenous calcium and could perform their life without complications incorporating the necessary calcium from the general diet. OBJECTIVES Avoid hypocalcemias and rationalize the dose of calcium in patients undergoing radical thyroidectomy. Identify early postoperative hypoparathyroidism. To establish postoperative parathormone levels as an indicator to classify patients as transient or definitive hypocalcaemic patients. To establish that levels of paratohormone, calcium and ionic calcium, within the normal range at 60 days of the intervention are candidates to not receive support of indefinite calcium.Descriptive, observational, prospective study. The study area will include all patients within the department of skin, thyroid, soft tissue and sarcomas of the hospital SOLCA - Guayaquil; Undergoing radical thyroidectomy between November 2014 and November 2016. A nonprobabilistic sampling will be used for convenience. RESULTS Tumor size and tumor infiltration of the thyroid capsule are associated with hypoparathyroidism and with this indefinite hypocalcemia. Paratohormone values at 60 days postoperatively can be used as a reliable indicator to remove exogenous calcium mediation. CONCLUSIONS AND RECOMMENDATIONS Hypoparathyroidism and hypocalcemia complications of radical thyroidectomy, a serial study of calcium levels and paratohormone in the immediate and late postoperative period, allows knowing the calcium metabolism and establishing who will require exogenous mediation of calcium indefinitely and who does not. Follow-up is recommended 6 months after surgery and the institution provides the reagent to perform paratohormone examination as a routine in the control of thyroidectomized patients.