Complications Following Thyroid Surgery

Herranz-González, Jesús; Gavilán, Javiér; Matínez-Vidal, José; Gavilán, César

doi:10.1001/archotol.1991.01870170062014

Cited by 82 publications

(66 citation statements)

References 19 publications

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“…Over the last two decades, some surgeons concluded that TT is indicated not only for thyroid cancer but also for benign thyroid disease [17,18] and that it can be performed as safely as BST [19][20][21]. The main objection about performing TT has been the higher likelihood of damage to the RLN and induction hypoparathyroidism [6].…”

Section: Discussionmentioning

confidence: 99%

The Factors Related with Postoperative Complications in Benign Nodular Thyroid Surgery

et al. 2010

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Thyroid gland is an important endocrine organ because of its functions. Although the morbidity and mortality of thyroid surgery have decreased markedly, serious complications may still occur. The aim of this retrospective study was to identify the factors influencing the complications in benign nodular thyroid surgery. A total of 332 patients who underwent thyroid surgery between April 2004 and May 2008 were evaluated retrospectively to identify the factors influencing the complications. We found that in surgery lasting more than 90 minutes the risk of permanent recurrent laryngeal nerve (RLN) injury was high, daily drainage more than 50 cc increases the risk of seroma formation, retrosternal goiter surgery have higher risk for bleeding. The flap edema rates were high found in the operations made by resident surgeon and patients with size 3-4 thyroid glands. Low complication rates can be achieved after thyroidectomy with better knowledge of the surgical anatomy of the neck, thyroid pathology and required surgical treatment.

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Section: Discussionmentioning

confidence: 99%

The Factors Related with Postoperative Complications in Benign Nodular Thyroid Surgery

et al. 2010

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“…In this series of 598 thyroidectomies permanent right vocal cord palsy occurred in one patient (0.16%) out of 595 cases (3 cases already had vocal cord palsy preoperatively) subjected to total thyroidectomy with neck dissection for papillary carcinoma of thyroid. Herranz Gonzales and colleagues reported a 2.3% incidence of unilateral recurrent laryngeal nerve injury in 513 patients who underwent thyroidectomy 10 . They found a significant relationship of recurrent laryngeal nerve injury with secondary procedures, histologic findings and no nerve identification during surgery.…”

Section: Discussionmentioning

confidence: 99%

Major post-operative complications of thyroid surgery: Preventable or not?

Majid

Siddique

2009

Bangladesh Med Res Counc Bull

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Factors responsible for major complications following thyroid surgery in 598 patients were studied. Patients with non toxic multinodular goiter involving both lobes of thyroid constituted the maximum bulk subjected to thyroidectomy. The most frequent procedure was bilateral subtotal thyroidectomy. Reactionary hemorrhage occurred in 6 patients, all following bilateral procedures and among them 5 patients developed tension hematoma with respiratory obstruction despite the presence of a drain. Temporary vocal cord palsy was observed in 7 patients whereas one patient subjected to total thyroidectomy with neck dissection for papillary carcinoma of thyroid developed permanent right vocal cord palsy. Temporary parathyroid insufficiency was seen in 51 patients and one patient developed permanent hypoparathyroidism. Incidence of parathyroid insufficiency was higher in bilateral procedures as compared to unilateral ones. There was no operation related death in this series, but complications like hemorrhage, vocal cord palsy and parathyroid insufficiency following thyroid surgery are still a deep concern.

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“…La incidencia de hipocalcemia postquirúrgica se situa entorno al 12%. La incidencia de hipocalcemia tras tiroidectomía varía según las series entre el 0,6 y el 40% (12,13). Estas diferencias son debidas en gran parte a la manera de diagnosticar la entidad, bien por métodos clínicos, o mediante la determinación de calcio iónico, calcio total o PTH (14).…”

Section: Discussionunclassified

Síndrome del hueso hambriento relacionado con hipertiroidismo

Rodríguez

Luque‐Ramírez

Gallardo

et al. 2006

An. Med. Interna (Madrid)

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INTRODUCCIÓNLa fisiopatología del síndrome del hueso hambriento (SHH) está relacionada con un disbalance entre la formación y resorción ósea, que se asocia a hipocalcemia, hipofosfatemia e hipomagnesemia (1). Este síndrome se puede observar tras la cirugía de pacientes con hiperparatiroidismo (HPT) primario, así como en el HPT terciario de la insuficiencia renal crónica, y en menor medida tras tratamiento de procesos que cursan con exceso de hormonas tiroideas circulantes (2). En el HPT, existe un exceso de hormona paratiroidea (PTH) que estimula la actividad osteoclástica causando desmineralización de la matriz ósea y liberando calcio al torrente sanguí-neo. Tras paratiroidectomia, los niveles séricos de PTH caen dramáticamente, por ello, la resorción ósea inducida por la PTH cesa, mientras que la actividad osteoblástica continúa dando como resultado un incremento en la captación ósea de calcio, fosfato y magnesio, apareciendo así el SHH (3).Las hormonas tiroideas actúan sobre el hueso acelerando los ciclos de remodelado, con predominio de la resorción ósea. El descenso de hormonas tiroideas tras la cirugía condiciona, una situación de disbalance óseo, favoreciendo la aparición del SHH (4). A continuación presentamos un ejemplo de esta entidad en relación con el tratamiento quirúrgico de un [0212-7199 (2006) RESUMENEl síndrome del hueso hambriento es una entidad clínica que se caracteriza por la aparición de hipocalcemia, hipofosfatemia e hipomagnesemia secundaria a un aumento de su captación a nivel óseo. Es un proceso que se ha descrito en el contexto de enfermedades que actúan generando un disbalance entre la producción y la resorción, a favor de ésta última. La forma clásica de presentación, acontece tras la realización de una paratiroidectomia en pacientes con hiperparatiroidismo (HPT), siendo su clínica la relacionada fundamentalmente con la caída de los niveles plasmáticos de calcio. Aunque menos habitual, ha sido descrito tras tratamiento quirúrgico de entidades clínicas que cursan con un exceso de hormonas tiroideas, siendo la forma más frecuente la enfermedad de Graves-Basedow. Presentamos un caso de este síndrome tras tiroidectomía en un paciente con hipertiroidismo primario por enfermedad de Graves, realizando una breve revisión de los aspectos fisiopatológicos y manejo del cuadro.

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Complications Following Thyroid Surgery

Cited by 82 publications

References 19 publications

The Factors Related with Postoperative Complications in Benign Nodular Thyroid Surgery

The Factors Related with Postoperative Complications in Benign Nodular Thyroid Surgery

Major post-operative complications of thyroid surgery: Preventable or not?

Síndrome del hueso hambriento relacionado con hipertiroidismo

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