Scientific PapersMorbidity of thyroid surgery
Section snippets
Material and methods
From March 1989 to May 1993, 1,163 consecutive patients underwent 1,192 thyroidectomies (Table I). There were 1,021 women and 142 men with a mean age of 46.9 years (range 14.5 to 88.1). Patients with associated hyperparathyroidism were excluded from the study. All patients had their history taken and physical examination, routine chemistry determinations, thyroid function tests, and chest radiographs. The preoperative work-up consisted of thyroid ultrasound, scan, fine needle aspiration (FNA)
Results
There was one death (0.08%). Wound morbidity included 12 superficial and 7 deep hematomas (1.59%), 3 chyle leaks (0.25%), and 6 abscesses (0.5%). Ten hemorrhages (3 superficial and 7 deep) were reexplored a median of 240 minutes (range 15 minutes to 15 days) after surgery (median time was 30 hours and 60 minutes for superficial and deep hematomas, respectively) with no further complications. Nine patients with small superficial hemorrhage showing no progression recovered without reoperation. No
Comments
Our data, in accordance with those of Shaha and Jaffe,6 are not in support of increased morbidity rates in thyroid surgery performed by surgeons with low patient volume provided that surgeons with high volume are supervising. In our series, surgical volume had no bearing on hematoma, abscess, temporary and permanent RLN palsy, and temporary and permanent hypoparathyroidism rates. Postoperative hematoma accounted for 0.08% mortality rate in our series with a 1.5% hematoma rate, which is similar
References (23)
- et al.
Parathyroid localization prior to primary exploration
Am J Surg
(1993) - et al.
Complications of thyroid surgery
Ann Surg Oncol
(1995) - et al.
Surgical treatment strategy for thyroid gland carcinoma nodal metastases
Eur Arch Otorhinolaryngol
(1997) - et al.
Completion thyroidectomya critical appraisal
Surgery
(1992) - et al.
Safety of thyroidectomy in residencya review of 186 consecutive cases
Laryngoscope
(1995) Considerations in surgery of the thyroid gland
Otolaryngol Clin North Am
(1996)- et al.
Complications of thyroid surgery performed by residents
Surgery
(1988) - et al.
Practical management of post-thyroidectomy hematoma
J Surg Oncol
(1994) - et al.
Prophylactic drainage after thyroidectomya randomized trial
Ann Chir
(1992) - et al.
Thyroid surgery without drainage15 years of clinical experience
J R Coll Surg Edinb
(1993)
Drains in thyroid and parathyroid surgery. Are they necessary?
Arch Otolaryngol Head Neck Surg
Cited by (381)
Republication of: Complications of revision surgery in case of bleeding after thyroid surgery: A systematic review
2023, Annales Francaises d'Oto-Rhino-Laryngologie et de Pathologie Cervico-FacialeComplications of revision surgery in case of bleeding after thyroid surgery: A systematic review
2023, European Annals of Otorhinolaryngology, Head and Neck DiseasesTotal thyroidectomy can be overtreatment in cN1a papillary thyroid carcinoma patients whose tumor is smaller than 1 cm
2022, American Journal of SurgeryThyroid and parathyroid surgeon case volume influences patient outcomes: A systematic review
2021, Surgical OncologyRisk factors for postoperative morbidity after thyroid surgery in a PROSPECTIVE cohort of 1500 patients
2021, International Journal of SurgeryChildren are at a high risk of hypocalcaemia and hypoparathyroidism after total thyroidectomy
2020, Journal of Pediatric SurgeryCitation Excerpt :In almost half of children included in the current study (42.5%), one or more parathyroid gland was either detached from its blood supply during surgery and therefore required autotransplantation or was found in the specimen by the pathologist. This rate is substantially higher than the rates for inadvertent parathyroidectomy reported in literature for adult series, which are around 20% [27–30]. However, in most of these studies, it is unclear if the pathology report is included in their calculations.