Hong Kong medical journal = Xianggang yi xue za zhi · 2001
Outcomes and complications of thyroid surgery: retrospective study.
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Chow T L, Chu W, Lim B H, Kwok S P
Аннотация
OBJECTIVE: To study the outcome and complications of thyroid surgery.
DESIGN: Retrospective study.
SETTING: Regional hospital, Hong Kong.
PATIENTS: Three hundred and twelve patients (266 women and 46 men) underwent thyroid surgery between January 1994 and December 1999.
MAIN OUTCOME MEASURES: Complications of thyroidectomy for various thyroid diseases according to surgical technique used.
RESULTS: Capsular dissection gradually became a more popular surgical technique: 33% and 58% in the first and second halves of the study period respectively (P<0.001). The overall rate of permanent vocal cord palsy was 2%. Near-total thyroidectomy became the preferred surgical treatment for toxic goitre over the study period. The incidence of recurrent hyperthyroidism was reduced from 21% to 7% (P>0.1, not significant). The incidence of hypoparathyroidism was approximately 30% after thyroidectomy for cancer.
CONCLUSION: Capsular dissection is increasingly utilised in thyroid surgery. Low complication rates can be achieved after thyroidectomy for benign diseases. Hypoparathyroidism, however, is a relatively common complication after surgery for thyroid cancer.
DESIGN: Retrospective study.
SETTING: Regional hospital, Hong Kong.
PATIENTS: Three hundred and twelve patients (266 women and 46 men) underwent thyroid surgery between January 1994 and December 1999.
MAIN OUTCOME MEASURES: Complications of thyroidectomy for various thyroid diseases according to surgical technique used.
RESULTS: Capsular dissection gradually became a more popular surgical technique: 33% and 58% in the first and second halves of the study period respectively (P<0.001). The overall rate of permanent vocal cord palsy was 2%. Near-total thyroidectomy became the preferred surgical treatment for toxic goitre over the study period. The incidence of recurrent hyperthyroidism was reduced from 21% to 7% (P>0.1, not significant). The incidence of hypoparathyroidism was approximately 30% after thyroidectomy for cancer.
CONCLUSION: Capsular dissection is increasingly utilised in thyroid surgery. Low complication rates can be achieved after thyroidectomy for benign diseases. Hypoparathyroidism, however, is a relatively common complication after surgery for thyroid cancer.