Total thyroidectomy is safer with identification of recurrent laryngeal nerve

Objective： To investigate the effect of recurrent laryngeal nerve （RLN） identification on the complications after total thyroidectomy and lobectomy. Methods： Total 134 consecutive patients undergoing total thyroidectomy or thyroid lobectomy from January 2003 to November 2004 were investigated retros...

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Bibliographic Details
Published in:Journal of Zhejiang University. B. Science 2008-06, Vol.9 (6), p.482-488
Main Authors: Canbaz, Hakan, Dirlik, Musa, Colak, Tahsin, Ocal, Koray, Akca, Tamer, Bilgin, Oner, Tasdelen, Bahar, Aydin, Suha
Format: Article
Language:English
Subjects:
Adult
Biomedical and Life Sciences
Biomedicine
Dissection - adverse effects
Dissection - methods
Female
Goiter - surgery
Goiter, Nodular - surgery
Humans
Male
Middle Aged
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Recurrent Laryngeal Nerve - anatomy & histology
Recurrent Laryngeal Nerve Injuries
Retrospective Studies
Risk Factors
Safety
Thyroid Neoplasms - surgery
Thyroidectomy - adverse effects
Thyroidectomy - methods
临床分析
喉返神经
甲状腺切除术
诊断方法
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Summary:Objective： To investigate the effect of recurrent laryngeal nerve （RLN） identification on the complications after total thyroidectomy and lobectomy. Methods： Total 134 consecutive patients undergoing total thyroidectomy or thyroid lobectomy from January 2003 to November 2004 were investigated retrospectively. Patients were divided into two groups： RLN identified （Group A） or not （Group B）. The two groups were compared for RLN injury and hypocalcaemia. Results： The numbers of patients and nerves at risk were 71 and 129 in Group A, and 63 and 121 in Group B, respectively, RLN injury in Group A （0） was significantly lower than that in Group B （5 [7.9%]） patients, 7 [5.8%] nerves） for the numbers of patients （P=0.016） and nerves at risk （P=0.006）. Temporary hypocalcaemia was significantly higher in Group A than in Group B （14 [24.1%] vs 6 [ 10.3%], P=0.049）, Permanent complications in Group B were significantly higher than those in Group A （13 [20.6%] vs 4 [5.6%], P=0.009）. Conclusion： RLN injury was prevented and permanent complications were decreased by identifying the whole course and branches of the recurrent laryngeal nerve during total thyroidectomy,
ISSN:1673-1581
1862-1783
DOI:10.1631/jzus.B0820033