Complication rates of thyroidectomy by an experienced, high-volume thyroid surgeon in a private hospital in Abu Dhabi, United Arab Emirates

Ahmad, Zahoor; Kutaiman, Ammar; Hassan, Youssef; Amin, Peshraw; Khan, Mariam

doi:10.7707/hmj.735

Cited by 3 publications

(5 citation statements)

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“…25 One study concluded that the complication rate after thyroidectomy can be significantly reduced if the procedure is performed by an experienced surgeon. 6 Our study also shows a significant association between level of expertise and complication rate but the complication rates are higher for all types of thyroidectomies when compared to similar studies performed in specialized units in other parts of the world. 24,25 Literature review indicates higher complication rates for total thyroidectomy like postoperative hypoparathyroidism (about 6%), recurrent laryngeal nerve paralysis and wound complications (≈ 1%).…”

Section: Discussionsupporting

confidence: 64%

“…In specialized centers, thyroidectomy has a very low complication rate and almost no mortality. 6 Hypocalcemia of hypoparathyroidism is among the well-recognized complications of thyroid surgery and its incidence in literature varies widely depending on the type of procedure (9% for total thyroidectomy), neck dissection, female gender and malignancy. 7 Incidence of transient hypocalcemia has ranged from 1% to 68% and that of permanent hypocalcemia from 0% to 13%.…”

Section: Introductionmentioning

confidence: 99%

“…Today, active surveillance or thyroid lobectomy/isthmusectomy can be employed for many patients with low-risk papillary thyroid cancers. 19 Although total thyroidectomy as primary surgical management for thyroid disease has been in vogue in specialized units with low morbidity and mortality, 6,20 there is fear of recurrence in the benign disease with initial conservative surgery (STT, NTT, lobectomy with isthmusectomy). This fear can be allayed by the fact that mean interval to re-operation for benign cases was 17.4 years and re-operative procedures comprised around 10% of thyroid surgery in a center over 20 years.…”

Section: Introductionmentioning

confidence: 99%

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Comparing the Outcomes of Thyroid Surgical Procedures for Benign Diseases with Expertise of the Surgeon in a Tertiary Care Hospital in Rawalpindi, Pakistan

Mehmood¹,

Bhatti²,

Anwar³

et al. 2021

J Islamabad Med Dental Coll

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Background: There is a lack of standardized guidelines regarding selection of appropriate thyroid surgery for patients with benign diseases. As a result, an inexperienced surgeon may select a more aggressive surgical option, which may increase the complication rate. The objective of this study was to compare the outcomes of thyroid surgical procedures for benign diseases with the expertise of the surgeon.Material and Methods: A retrospective cross-sectional study from 1999 to 2018. The study setting is of a public sector tertiary care teaching hospital. Patients undergoing thyroid surgery (lobectomy with isthmusectomy, subtotal thyroidectomy (STT), near total thyroidectomy (NTT), or total thyroidectomy (TT)) were included. Expertise level 1, 2 and 3 (L1, L2, L3) of the surgeon was based on years of experience or number of thyroid surgeries to their credit. Postoperative complications (hypocalcemia, recurrent laryngeal nerve (RLN) damage, airway obstruction, hemorrhage and mortality) were measured against type of thyroid surgery and expertise of the surgeon.Results: A total of 833 thyroid surgeries were performed on 695 (83.43%) females and 138 (16.57%) males. About 502 (60.26%) STT, 228 (27.37%) TT, 61 (7.32%) NTT, 42 (5.04%) lobectomies with isthmusectomies were performed, with LI, 2, and 3 surgeons performing 21.25%, 45.74% and 33% of these procedures, respectively. Surgeons with L1, 2 and 3 levels of expertise caused 49.47%, 33.45% and 17.08% of adverse events, respectively. Permanent hypocalcemia, RLN damage and mortality were significantly more common in surgeries performed by L1 compared with L2 and L3 surgeons (P<.05). Transient and permanent hypocalcemia, transient and permanent RLN damage and mortality were significantly more common for total thyroidectomy compared to subtotal thyroidectomy (P<.01).Conclusions: Minimizing the occurrence of complications like permanent hypocalcemia, RLN damage and mortality, expertise of the surgeon and anticipated difficulty of the procedure needs to be taken into account while selecting a thyroid procedure.

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing the Outcomes of Thyroid Surgical Procedures for Benign Diseases with Expertise of the Surgeon in a Tertiary Care Hospital in Rawalpindi, Pakistan

Mehmood¹,

Bhatti²,

Anwar³

et al. 2021

J Islamabad Med Dental Coll

View full text Add to dashboard Cite

show abstract

“…Some authors have reported a lower incidence of postoperative hypocalcemia than we reported in this study (as low as 3.5%) 19,20 whereas several other studies have reported a higher incidence of hypocalcemia (as high as 59%). 19 Suwannasarn et al reported immediate hypocalcemia was observed in 38.5% of patients. 21 Early postoperative hypocalcemia was 42% in Seo et al study.…”

Section: Srcontrasting

confidence: 72%

“…However, transient postoperative hypocalcemia can occur as a result of haemodilution, increased urinary excretion due to surgical stress, calcitonin release and hungry bone syndrome in patients with hyperthyroidism. 18,19 In this study, the rate of hypocalcemia was 20.5%. None of those hypocalcemic patients required calcium supplements after 1 week.…”

Section: Srmentioning

confidence: 47%

Outcome of one year’s experience of thyroid surgery in a high volume center.

Asghar

Kaleem

Afzal

et al. 2020

TPMJ

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Objectives: This study was performed to take an overview of the modes of presentation of these disorders, demographic factors of presenting patients, procedures to deal with these disorders and complications associated with them in our surgical ward. Study Design: Cross Sectional Study. Setting: Department of North Surgery, Mayo Hospital Lahore Pakistan. Period: September 2018 to September 2019. Material & Methods: All adult patients of either gender who presented with benign or malignant thyroid disorders and were managed surgically during the study period were included. The data was recorded on a pre-designed proforma maintained at the department. Results: Out of 156 patients, there were 146(93.6%) females and 10(6.4%) males. The most commonly performed procedure was total thyroidectomy i.e 102 (65.3%) while hemi thyroidectomies being 41 (26.1%). We performed 4 neck dissections in this time period for malignancies. The mean hospital stay ranged from 1-12 days with a mean of 2.88±1.99 days. There was no in-hospital mortality. Temporary hypocalcemia was the most common early complication found in 32(20.5%) patients. Conclusion: Thyroid surgery is a safe procedure to be performed for teaching purposes in a high volume unit like ours with complication rates reaching near zero.

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Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period

et al. 2021

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BACKGROUND: Thyroidectomy is the surgical removal of all or part of the thyroid gland for non-neoplastic and neoplastic thyroid diseases. Major postoperative complications of thyroidectomy, including recurrent laryngeal nerve injury, hypocalcemia, and hypothyroidism, are not infrequent. OBJECTIVE: Summarize the frequency of surgical complications of thyroidectomy. DESIGN: Retrospective. SETTING: Secondary health facility in southwestern Saudi Arabia. PATIENTS AND METHODS: We collected data from the records of patients who were managed for thyroid diseases between December 2013 and December 2019. MAIN OUTCOME MEASURE: Complications following thyroidectomy. SAMPLE SIZE: 339 patients, 280 (82.6%) females and 59 (17.4%) males. RESULTS: We found 311 (91.7%) benign and 28 (8.3%) malignant thyroid disorders. Definitive management included 129 (38.1%) total thyroidectomies, 70 (20.6%) hemithyroidectomies, 10 (2.9%) subtotal thyroidectomies and 5 (1.5%) near-total thyroidectomies with 125 (36.9%) patients treated non-surgically. The overall complication rate was 11.3%. There were 4 (1.9%) patients with recurrent laryngeal nerve palsy, 16 (7.5%) patients with temporary hypoparathyroidism, 1 (0.5%) patient with paralysis of the external branch of the superior laryngeal nerve and 3 (1.4%) patients with wound hematoma. CONCLUSION: The rate of complications following thyroidectomy is still high. There is a need for emphasis on comprehensive measures to control the high rate of complications. LIMITATIONS: Retrospective design and no long-term follow up to monitor late complications. CONFLICT OF INTEREST: None.

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Complication rates of thyroidectomy by an experienced, high-volume thyroid surgeon in a private hospital in Abu Dhabi, United Arab Emirates

Cited by 3 publications

References 0 publications

Comparing the Outcomes of Thyroid Surgical Procedures for Benign Diseases with Expertise of the Surgeon in a Tertiary Care Hospital in Rawalpindi, Pakistan

Comparing the Outcomes of Thyroid Surgical Procedures for Benign Diseases with Expertise of the Surgeon in a Tertiary Care Hospital in Rawalpindi, Pakistan

Outcome of one year’s experience of thyroid surgery in a high volume center.

Post-thyroidectomy complications in southwestern Saudi Arabia: a retrospective study of a 6-year period

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