Morbidity of thyroid surgery

Bergamaschi, Roberto; Bécouarn, Guillaume; Ronceray, J; Arnaud, Jean‐Pierre

doi:10.1016/s0002-9610(98)00099-3

Cited by 394 publications

(358 citation statements)

References 11 publications

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“…In a study of 1,192 thyroidectomies including 87 total thyroidectomies in conjunction with neck dissection, Bergamaschi et al were unable to demonstrate any correlation between the number of resected lymph nodes and the overall degree of permanent hypocalcemia [15]. In our series of 417 thyroidectomies including 80 total thyroidectomies in conjunction with neck dissection.…”

Section: Discussioncontrasting

confidence: 59%

“…Also, permanent hypocalcemia rates were found to be increased in patients with neck dissection [13,14]. In a study by Bergamaschi et al the permanent hypocalcemia rate was as high as 17.3% for the group with neck dissection [15]. In this series, permanent hypocalcemia rate in neck dissection group was 19.7% and all the patients were thyroidectomy with neck dissection patients.…”

Section: Discussionmentioning

confidence: 64%

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Permanent hypocalcemia in patients operated for thyroid carcinoma

Turanlı¹,

Karaman

Ozgen

2009

Indian J Otolaryngol Head Neck Surg

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Aim and objective The incidence and risk factors for permanent hypocalcemia in thyroid carcinoma were investigated. Materials and methodsThe records of 417 patients were reviewed retrospectively at tertiary oncology referral center. Total or subtotal thyroidectomy patients constituted group I (n = 225), reoperative thyroid surgery patients constituted group II (n = 106), and therapeutic neck dissection cases constituted group III (n = 86). Age, gender, thyroid functions, pathologically verifi ed tumor type, differentiation, localization and size, multicentricity, thyroid capsule invasion, extrathyroidal soft tissue invasion, coexistence of lymphocytic thyroiditis, metastatic lymph nodes dissected, incidental parathyroidectomy, and the type of surgery were investigated.Re sults Permanent hypocalcemia was seen in 32 (7.7%) patients. The incidence of permanent hypocalcemia for each group was 1.7%, 10.3% and 19.7%, respectively. Related risk factors were hyperthyroidism for group I [adjusted relative risk (RR) = 21.1, 95% confi dence interval (CI) = 2.6-165, p = 0.01] incidental parathyroidectomy for group II (RR = 7.8, 95% CI = 1.9-31.0, p = 0.004), and extrathyroidal soft tissue invasion (RR = 3.1, 95% CI = 1.1-9.5, p = 0.03) for group III.Conclusion Permanent hypocalcemia rate was increased with reoperative thyroid surgery and neck dissection added to total thyroidectomy. Hyperthyroidism, incidental parathyroidectomy and extrathyroidal extension were related risk factors.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 64%

Permanent hypocalcemia in patients operated for thyroid carcinoma

Turanlı¹,

Karaman

Ozgen

2009

Indian J Otolaryngol Head Neck Surg

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“…In our study, 30 patients developed hypocalcaemia, including six permanent, while 13 patients had nerve palsies, with six being permanent. These findings are in consistent with previous studies, particularly following completion thyroidectomy and LND [20][21][22]. Lateral LND is known to increase morbidity, with spinal or phrenic nerve paralysis, Claude Bernard Horner syndrome, or chyle leak [20][21][22].…”

Section: Morbiditysupporting

confidence: 92%

Oncologic Results of Completion Thyroidectomy and Secondary Prophylactic Lymph Node Dissection in the Management of Differentiated Thyroid Cancer

-Hennekine¹

2012

Thyroid Disorders Ther

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“…These and other major complications typically occur in less than 5% of the cases 12. In the 21st century, thyroidectomy has become safe and effective with improved outcomes and minimal morbidity 34.…”

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confidence: 99%

Incidental parathyroidectomy during thyroid resection: incidence, risk factors, and outcome

Khairy

Alsaif

2011

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVES:Thyroidectomy is a commonly performed procedure for thyroid problems. Inadvertent removal of the parathyroid glands is one of its recognized complications, which occurs more frequently in certain high-risk patients. The aim of this study was to identify the incidence, risk factors, and clinical relevance of incidental parathyroidectomy during thyroid surgery.DESIGN AND SETTING:A retrospective review of thyroid operations performed at a tertiary referral hospital between January 2004 and December 2008.METHODS:Pathology reports were reviewed to identify the specimens that included parathyroid tissue and underlying thyroid pathology. Postoperative calcium levels were reviewed in these patients.RESULTS:During the study period, 287 thyroidectomies were performed and 47 (16.4%) patients had incidentally removed parathyroid glands. Risk factors for inadvertent parathyroid resection included total thyroidectomy (P=.0001), Hashimoto thyroiditis (P=.004), and extrathyroidal spread (P=.0003). Postoperative hypocalcemia occurred in 18 (38.3%) of the patients in whom the parathyroid gland was removed inadvertently and in 48 (20%) of the rest of the patients (P=.0123).CONCLUSION:The incidence of incidental removal of parathyroid tissue during thyroidectomy is 16.4%. Total thyroidectomy, extrathyroidal extension of the tumor, and thyroiditis were found to be the risk factors. Hypocalcemia was significantly higher among patients who had inadvertent parathyroidectomy.

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Morbidity of thyroid surgery

Cited by 394 publications

References 11 publications

Permanent hypocalcemia in patients operated for thyroid carcinoma

Permanent hypocalcemia in patients operated for thyroid carcinoma

Oncologic Results of Completion Thyroidectomy and Secondary Prophylactic Lymph Node Dissection in the Management of Differentiated Thyroid Cancer

Incidental parathyroidectomy during thyroid resection: incidence, risk factors, and outcome

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