TY - JOUR T1 - Invited critique: Total thyroidectomy for bilateral benign multinodular goiter AU - Grant CS Y1 - 1999/12/01 N1 - 10.1001/archsurg.134.12.1393 JO - Archives of Surgery SP - 1393 EP - 1393 VL - 134 IS - 12 N2 - 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. SN - 0004-0010 M3 - doi: 10.1001/archsurg.134.12.1393 UR - http://dx.doi.org/10.1001/archsurg.134.12.1393 ER -