Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Complications in thyroid surgery

갑상선 절제술 후 합병증

  • Tae, Kyung (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Choi, Yong-Seung (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Shim, Bong-Taek (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Shin, Chang-Sik (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Park, Chul-Won (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Lee, Hyung-Seok (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University)
  • 태경 (한양대학교 의과대학 이비인후과학교실) ;
  • 최용승 (한양대학교 의과대학 이비인후과학교실) ;
  • 심봉택 (한양대학교 의과대학 이비인후과학교실) ;
  • 신창식 (한양대학교 의과대학 이비인후과학교실) ;
  • 박철원 (한양대학교 의과대학 이비인후과학교실) ;
  • 이형석 (한양대학교 의과대학 이비인후과학교실)
  • Published : 1996.06.01
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Abstract

The medical records of 87 patients with thyroid nodule treated from May 1992 to February 1996 were retrospectively reviewed to assess complication with age, sex, pathologic classification, location of lesions, and surgical procedures. The overall rate of complication were observed 10(11.5%) in thyroid surgery. The most common complication was transient hypoparathyroidism, which occurred in 6(6.9%) of 87 patients. The 2(2.3%) patients experienced Permanent hypoparathyroidism and each 1(1.1%) patient was reported in transient recurrent laryngeal nerve paralysis and hematoma.. Well-performed thyroid surgery usually produces few complications. More extensive resections, involving bilateral thyroidectomy are associated with a higher incidence of postoperative morbidity, in particular vocal cord paralysis and hypoparathyroidism, than procedures that consist essentially of unilateral thyroidectomy. Our experience suggests that the postoperative complication relates primarily to the surgical procedure. The low incidence of permanent complications in thyroid surgery suggests the feasibility of total thyroidectomy as the operation of choice when thyroid nodules were malignant and surgeons are familiar with the technique and indications.

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