Postoperative complications of thyroidectomy for differentiated thyroid carcinoma
Section snippets
Patients and methods
From January 1990 to December 2000, 1020 patients were submitted to thyroidectomy in the Head and Neck Surgery and Otorhinolaryngology Department of the Centro de Tratamento e Pesquisa Hospital do Câncer A C Camargo, in São Paulo, Brazil. The vast majority of the operations were performed by third- to fifth-year medical residents under direct the supervision of 10 different experienced head and neck surgeons. The attending surgeons were stratified as follows according to the total number of
Results
One hundred twenty-three patients (38.9%) had postoperative complications, with hypocalcemia as the most frequent one. Other less frequent complications were vocal fold palsy, hematoma, seroma, and wound infection (Table 1). The mean duration of hospital stay was 2 days (ranging from 1 to 18 days). Thyroidectomies were performed or supervised by surgeons classified as follows according to the number of thyroidectomies: group A (22%), group B (18%), and group C (60%).
The overall rate of vocal
Discussion
Thyroidectomy is a very common surgical procedure worldwide and is performed by surgeons with varied training and backgrounds such as general surgery, thoracic surgery, endocrine surgery, otorhinolaryngology, oncologic surgery, and head and neck surgery. Our department is part of an oncological surgery training program, where most of such operations are performed by 3rd to 5th year medical residents in surgical oncology or head and neck surgery fellows under the direct supervision of one
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Comparison of outcomes after differentiated thyroid cancer surgery performed with and without energy devices: A population-based cohort study using a nationwide database in Japan
2020, International Journal of SurgeryCitation Excerpt :For example, postoperative bleeding (0.4%–4.4%) can result in airway constriction and laryngeal edema and often requires reoperation [1–8]. Recurrent laryngeal nerve (RLN) paralysis (0.2%–3.9%) can result in dysphagia and may require rehabilitation [1,4–6,8–11]. Postoperative hypocalcemia (0.1%–8.8%) requires administration of calcium preparation [1,4–6,8–13], and chylothorax (1.85%) requires drainage or reoperation [14].
Differential recurrent laryngeal nerve palsy rates after thyroidectomy
2014, Surgery (United States)Citation Excerpt :Apart from the intrinsic factors of the RLN detailed in this study, a number of patient risk factors exist for nerve injury, such as increasing age, diabetes mellitus, and chronic end organ failure.33 Previously identified disease-related risk factors for RLN injury include thyroid cancer, large goiters, Graves' disease, and thyroiditis, whereas surgical risk factors include reoperative surgery, postoperative hemorrhage, low volume of thyroidectomies by the surgeon or in the hospital, and failure to operatively expose the RLN.28,29,34-46 Because of the small percentage of RLN palsy, despite the overall cohort size, subgroup analysis of these factors is difficult to interpret.
Complications of Thyroidectomy and Learning Curve for Thyroid Surgeons: An Institutional Experience
2023, Indian Journal of Otolaryngology and Head and Neck Surgery