Complications in primary and completed thyroidectomy

Vaiman, Michael; Nagibin, Andrey; Olevson, Julian

doi:10.1007/s00595-008-4027-9

Cited by 68 publications

(52 citation statements)

References 13 publications

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“…In our study, we found the complication rates in completion thyroidectomy for temporary and permanent hypoparathyroidism as 20.7% and 4.4% respectively where it is 2.5% for permanent RLN palsy and 8.1% in unilateral, 1.2% in bilateral temporary RLN palsy. For one thing, completion thyroidectomy after hemithyroidectomy reveals some differences (Vaiman et al, 2010). Complications generally occure while dissecting the scar tissue around recurrent laryngeal nerve or the vascular pedicle of the parathyroid glands.…”

Section: Discussionmentioning

confidence: 99%

Complications of Completion Versus Total Thyroidectomy

Gülçelik

Kuru²,

Dincer³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 99%

Complications of Completion Versus Total Thyroidectomy

Gülçelik

Kuru²,

Dincer³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…Large case series suggest that rates of these complications are: haematoma, 1·2–2·1 per cent1, 2, 3, 4; transient hypoparathyroidism, 6·4–35·2 per cent1, 2, 4, 5, 6; permanent hypoparathyroidism, 0·9–6·3 per cent1, 2, 3, 5, 6; transient RLN injury, 0·36–3·9 per cent1, 2, 3, 4, 5; and permanent RLN injury, 0·7–1·4 per cent1, 2, 3, 5. Short‐term complications increase length of stay in hospital, the number of consultations, diagnostic tests and treatments needed, and overall cost.…”

Section: Introductionmentioning

confidence: 99%

Randomized clinical trial of ultrasonic scissorsversusconventional haemostasis to compare complications and economics after total thyroidectomy (FOThyr)

et al. 2017

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BackgroundThe benefits of single‐use ultrasonic scissors in thyroid surgery are still debated. Although this device has been shown to reduce operating time compared with conventional haemostasis, its cost‐effectiveness has never been demonstrated. The aim of this study was to evaluate the efficacy, cost‐effectiveness and safety of ultrasonic scissors for total thyroidectomy.MethodsThis was a prospective, randomized, multicentre trial conducted at 13 hospital sites. The primary endpoint was the percentage of patients with hypocalcaemia (serum calcium level below 2 mmol/l) on day 2. Secondary endpoints included postoperative complications and costs, with calculation of incremental cost differences and cost‐effectiveness ratios.ResultsIn total, 1329 patients who underwent total thyroidectomy were included in the analysis: 670 were randomized to treatment with ultrasonic scissors and 659 to conventional haemostasis. There was no difference between groups in the rate of complications, including hypocalcaemia on day 2 (19.7 per cent in ultrasonic scissors group versus 20.3 per cent in conventional haemostasis group; P = 0·743). Median operating times were significantly shorter with ultrasonic scissors (90 versus 100 min with conventional haemostasis; P < 0·001). Total mean(s.d.) direct costs at 6 months were €4311(1547) and €4011(1596) respectively (P < 0·001).ConclusionUltrasonic scissors were no more clinically effective than conventional haemostasis, but use of these devices was more costly. Registration number: NCT01551914 (http://www.clinicaltrials.gov).

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“…However, it is generally accepted that reoperation carries a higher risk of complications than primary surgery [5][6][7][8]. In addition, completion thyroidectomy requires working in a recently operated field with scarring and partial obliteration of tissue planes.…”

Section: Discussionmentioning

confidence: 99%

“…However, in cases in which a thyroid lobectomy is performed and the final pathology is reported as regional lymph node metastasis, consideration is then given for a completion thyroidectomy. The rates of complications after completion thyroidectomy are significantly higher in comparison with the primary operation [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Frozen Biopsy of Central Lymph Node in the Management of Papillary Thyroid Microcarcinoma

Lee

Yoon

Kim

et al. 2015

Indian J Otolaryngol Head Neck Surg

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The purpose of this study was to evaluate the usefulness and accuracy of intraoperative frozen section examination in the diagnosis of metastatic central lymph nodes in comparison to the final histopathological findings. A retrospective review was performed to evaluate patients with a preoperative diagnosis of papillary thyroid microcarcinoma (PTMC) and a plan to perform thyroid lobectomy at our Hospital from September 2011 to September 2013. Sixteen patients were identified. Intraoperative frozen section examination diagnosed ten patients as negative malignant cells of the central lymph node and the remaining six patients as metastatic central lymph node. The final histopathological results corresponded with intraoperative frozen section examination. Intraoperative frozen section examination had a sensitivity, specificity and accuracy of 100 % for diagnosing metastatic central lymph nodes of PTMC. Intraoperative frozen section examination of central lymph nodes is a useful and accurate adjunct for determining the operation method in PTMC.

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Complications in primary and completed thyroidectomy

Cited by 68 publications

References 13 publications

Complications of Completion Versus Total Thyroidectomy

Complications of Completion Versus Total Thyroidectomy

Randomized clinical trial of ultrasonic scissorsversusconventional haemostasis to compare complications and economics after total thyroidectomy (FOThyr)

Intraoperative Frozen Biopsy of Central Lymph Node in the Management of Papillary Thyroid Microcarcinoma

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