Preliminary report on meticulous operation of thyroid lobectomy.
- Author:
Shanchun GONG
1
;
Haidong ZHANG
1
;
Yaqun LIU
1
;
Qingxiang ZHANG
1
;
Zhenkun YU
2
Author Information
- Publication Type:Journal Article
- MeSH: Humans; Hypoparathyroidism; Laryngeal Nerves; Laryngoscopy; Parathyroid Glands; Parathyroid Hormone; Postoperative Hemorrhage; Postoperative Period; Thyroid Gland; surgery; Thyroidectomy; Vocal Cord Paralysis
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2015;50(1):28-32
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEThyroid lobectomy can be programmed to operate as "step by step". Each step must be performed meticulously with quality control, so as to minimize the complications of surgery.
METHODSFrom May 2013 to Auguest 2014, the meticulous thyroid operation was conducted in 72 cases (144 lobectomies). Pre- and post-operative evaluations by strobe laryngoscopy, parathyroid hormone (PTH), and blood calcium examinations were conducted in all cases.
RESULTSFour cases (5.6%) had transient recurrent laryngeal nerve paralysis after surgery, but no permanent recurrent laryngeal nerve paralysis. There was no transient or permanent superior laryngeal nerve paralysis. Transient hypoparathyroidism occurred in 10 cases, with no permanent hypoparathyroidism. No case presented with postoperative bleeding or infection.
CONCLUSIONS"Meticulous operation of thyroid lobectomy" may minimize effectively the complication of surgery.