Secondary thyroidectomy: A twenty‐year experience

Reeve, T. S.; Delbridge, Leigh; Brady, Peter; Crummer, Patsy; Smyth, Christine

doi:10.1007/bf01655417

Cited by 148 publications

(117 citation statements)

References 6 publications

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“…Patients with malignancy in DO group needed re-surgery for completion thyroidectomy, but no re-surgery performed on cases of TT group. Due to the small remnant tissue, re-operation is difficult and carries a significant risk of damage to both RLNs and the parathyroid glands, and during completion thyroidectomy, there is a 10-fold increase in iatrogenic injuries [17]. So, due to the high incidence of malignancy in this survey (10 %), TT can be the method of choice for MNG surgery.…”

Section: Discussionmentioning

confidence: 84%

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

et al. 2015

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Multi-nodular goiter (MNG) is one of the commonest thyroid gland disease. Surgery is an important treatment option in the presence of indications. There are several alternative procedures for thyroid gland operation such as subtotal thyroidectomy (STT), near-total thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure), and total thyroidectomy (TT), but the surgical procedure of choice is still under discussion. In this study, 173 consecutive patients with multi-nodular goiter underwent thyroid operation in the department of surgery of Pursina Hospital in Rasht-Iran, using two different methods: Dunhill operation and total thyroidectomy. Outcome assessment was performed 4 days after surgery, 2 weeks, 1, 2, 10, and 20 month after surgery. Preoperative assessment, seroma, recurrent laryngeal nerve palsy, hypocalcaemia rates, and rates of other postoperative complications, final pathology, and recurrence were compared in two methods. Due to the high incidence of malignancy in this survey, TT can be the method of choice for MNG surgery. Also, TT will be more beneficial in the surgical treatment of benign thyroid disorders, especially those which are bilateral or extended to substernal space or which presented with compression symptoms.

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Section: Discussionmentioning

confidence: 84%

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

et al. 2015

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“…In our study, the rate of permanent hypoparathyroidism was also 0%. The low rates of permanent hypocalcemia after reoperation may be due to the use of operative techniques that aim to preserve the vascular pedicle of the parathyroid glands after capsular dissection (1,19).…”

Section: Discussionmentioning

confidence: 99%

Recurrent laryngeal nerve injury and hypoparathyroidism rates in reoperative thyroid surgery

Benkhadoura¹,

Taktuk²,

Alobedi³

2017

Turk J Surg

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Objective: Reoperative thyroid surgery is rare and has a high complication rate. This retrospective cohort study was performed to determine the recurrent laryngeal nerve injury and hypoparathyroidism rates after reoperative thyroid surgery in two university hospitals in Benghazi, Libya. Material and Methods:All consecutive patients who underwent reoperative thyroid surgery between January 2002 and July 2014 were included retrospectively. The cohort was divided according to whether the reoperation was in the previously operated lobe or both lobes (ipsilateral group), or only in the previously non-operated lobe (contralateral group). Results:Of the 73 patients, 66 were female and seven were male. The median age was 37 (19-80) years. Nine (12.3%), five (6.8%), and one (1.4%) patient developed postoperative transient hypocalcemia, transient recurrent laryngeal nerve palsy, and permanent recurrent laryngeal nerve injury, respectively. None of the patients developed permanent hypocalcemia. The ipsilateral group had a higher rate of permanent recurrent laryngeal nerve injury after reoperation than the contralateral group (3.1% vs. 0%). It also had higher rates of transient recurrent laryngeal nerve injury (12.5% vs. 2.4%) and transient hypocalcemia (28.1% vs. 0%), but the two groups did not differ in terms of permanent hypocalcemia rates (both 0%). Conclusion:Reoperative thyroid surgery is technically challenging with a high incidence of complications. The ipsilateral group had more complications after reoperative thyroid surgery than the contralateral group. Hemi-or total thyroidectomy at the primary surgery is recommended to reduce the frequency of reoperative thyroid surgery.

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“…This fact may not be recognized unless long-term data are reviewed after primary nontotal tyroidectomy. According to Reeve and others the peak incidence of the second operation appears 13 years after subtotal thyroidectomy (3,30).During a subtotal thyroidectomy it is also possibility to remain the small posterior-lateral part of the thyroid tissue (Zuckerkandl`s tuberculum) (13,20,31).…”

Section: Discussionmentioning

confidence: 99%

Total Thyroidectomy for Nodular, Benign Thyroid Diseases in Terms of Larynx Function Examinations - Is it a New Treatment Standard?

Kaczka

Jankowski

Kopczyński

et al. 2010

Polish Journal of Surgery

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Aim of the study was the assessment of total thyroidectomy (TT) value as a treatment method of goiter with particular emphasis on the results of laryngological examination. material and methods. From 15 th April 2008 to 1 st July 2009 there were 125 (72.7%) TTs, 12 (7%) TTs and appropriate lymphadenectomies, 9 (5.2%) near TTs, 14 (8.1%) lobectomies, 5 (2.9%) completion thyroidectomies and 6 (3.4%) other operations. Vocal cords function was assessed routinely one day before, two days after operation by an otolaryngologist. Voice quality was assessed by patients in VHI questionnaire theirselves. Results. Five patients had one-sided vocal cord paralysis before the operation. The one-sided transient recurrent laryngeal nerve injuries was observed in 16 other patients (9.3% among patients and 4.6% among nerves at risk)in the second day after the operation. There was no bilateral recurrent laryngeal nerve injury. From three to six months after the operation, 21 (among 23) patients with vocal cord movement disability were examined once again by the same otolaryngologist. The same vocal cord paralysis was observed in 4 sicks (one person died), which was found preoperatively. Seven (4%) other patients had permanent one vocal cord paresis. This represents 2% the nerves at risk. Three of them were recognized benign lesions and four thyroid cancer. Our percentage of early, postoperative hypoparathyroidism was 6.4% and persistent was 1.7%. VHI score in the group with paresis or paralysis of vocal cord gave the score of 4 to 90 points-an average of 49 points. In patients with proper vocal cord movement there were results from 0 to 6 points-an average of 2 points. conclusions. 1. Total thyroidectomy in the treatment of bilateral goiter without malignancy features is radical and safe procedure. 2. It protects against goiter relapse and its consequences. 3. Complications rates after total thyroidectomy are at acceptable and comparable proportions to the other operation types.

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Secondary thyroidectomy: A twenty‐year experience

Cited by 148 publications

References 6 publications

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

Recurrent laryngeal nerve injury and hypoparathyroidism rates in reoperative thyroid surgery

Total Thyroidectomy for Nodular, Benign Thyroid Diseases in Terms of Larynx Function Examinations - Is it a New Treatment Standard?

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