Complications of Thyroid Surgery: Analysis of a Multicentric Study on 14,934 Patients Operated on in Italy over 5 Years

World Journal of Surgery - Tập 28 - Trang 271-276 - 2004
Lodovico Rosato1, Nicola Avenia2, Paolo Bernante3, Maurizio De Palma4, Giuseppe Gulino5, Pier Giorgio Nasi6, Maria Rosa Pelizzo3, Luciano Pezzullo7
1Department of Surgery, Endocrine Surgical Unit, Ivrea Hospital, Ivrea, Italy
2Department of Surgery, Endocrine Surgical Unit, Perugia University, Policlinico Monteluce, Perugia, Italy
3Department of Surgery, Endocrine Surgical Unit, Padua University, Padua, Italy
4Department of Surgery, Endocrine Surgical Unit, “Cardarelli” Hospital, Naples, Italy
5Epidemiology clinical-Medical Department Office, Ivrea Hospital, Ivrea, Italy
6Department of Surgery, Endocrine Surgical Unit, “Umberto I” Mauriziano Hospital, Turin, Italy
7Department of Surgery, Endocrine Surgical Unit, I.N.T. “Pascale” Hospital, Naples, Italy

Tóm tắt

Complication rates associated with thyroid surgery can be evaluated only through analysis of case studies and follow-up data. This study covers postoperative data from 14,934 patients subjected to a follow-up of 5 years. Among them, 3130 (20.9%) underwent total lobectomy (TL), 9599 (64.3%) total thyroidectomy (TT), 1448 (9.7%) subtotal thyroidectomy with a monolateral remnant (MRST), and 757 (5.1%) subtotal thyroidectomy with bilateral remnants (BRST). A total of 6% of the patients had already been operated on. Persistent hypoparathyroidism occurred after 1.7% of all the operations, and temporary hypoparathyroidism was noted in 8.3%. Permanent palsy of the laryngeal recurrent nerve (LRN) occurred in 1.0% of patients, transient palsy in 2.0%, and diplegia in 0.4%. The superior laryngeal nerve was damaged in 3.7%; dysphagia occurred in 1.4% of cases, hemorrhage in 1.2%, and wound infection in 0.3%. No deaths were reported. A significant rate of LRN damage was noted, which has an important impact on the patient’s social life. Hypoparathyroidism after total thyroidectomy is an important complication that can be successfully treated by therapy, although it is not always easily managed in special circumstances such as in young persons or pregnant women. The complications associated with thyroid surgery must be kept in mind so the surgeon can carefully evaluate the surgical and medical therapeutic options, have more precise surgical indications, and be able to give the patient adequate information.

Tài liệu tham khảo

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World Journal of Surgery

Tập 28

271-276

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