Postoperative complications of thyroidectomy for differentiated thyroid carcinoma

This study evaluates the incidence and risk factors of complications in patients submitted to thyroidectomy for differentiated thyroid carcinoma in a cancer hospital with residency training. A retrospective chart and complications review of 316 consecutive patients who underwent thyroidectomy for di...

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Bibliographic Details
Published in:American journal of otolaryngology 2004-07, Vol.25 (4), p.225-230
Main Authors: Filho, João Gonçalves, Kowalski, Luiz Paulo
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cancer
Child
Dissection
Family medical history
Female
Hematoma - epidemiology
Hematoma - etiology
Hospitals
Humans
Hypocalcemia - epidemiology
Hypocalcemia - etiology
Incidence
Male
Medical sciences
Middle Aged
Neck Dissection - adverse effects
Otolaryngology
Otorhinolaryngology. Stomatology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative period
Retrospective Studies
Risk Factors
Seroma - epidemiology
Seroma - etiology
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Thyroid cancer
Thyroid gland
Thyroid Neoplasms - surgery
Thyroidectomy - adverse effects
Treatment Outcome
Vocal Cord Paralysis - epidemiology
Vocal Cord Paralysis - etiology
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Description
Summary:This study evaluates the incidence and risk factors of complications in patients submitted to thyroidectomy for differentiated thyroid carcinoma in a cancer hospital with residency training. A retrospective chart and complications review of 316 consecutive patients who underwent thyroidectomy for differentiated thyroid carcinoma. Of the 316 patients, the main postoperative complications were transient hypocalcemia in 87 (27.5%), permanent hypocalcemia in 16 (5.1%), transient vocal cord palsy in 4 (1.2%), and permanent vocal cord palsy in 2 (0.6%). Neck dissection and paratracheal lymph node dissection when associated with total thyroidectomy were significantly related to transitory and permanent hypocalcemia. Thyroid surgery can be performed safely in a hospital with medical residency training program under direct supervision of an experienced surgeon with acceptable morbidity. Hypocalcemia is the most significant complication. Neck and paratracheal lymph node dissections were the most significant predictors of hypocalcemia in patients submitted to total thyroidectomy.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2004.02.001