Complications of reoperation of thyroid carcinoma and management

VernacularTitle:甲状腺癌再手术与并发症分析
Author: Xiaojun YANG ; Xiaomin LIU ; Yongning FAN ; Fangning GAO ; Jinmao LI
Publication Type:Journal Article
Keywords: Thyroid carcinoma; Reoperation; Complication
From: Journal of Endocrine Surgery 2014;(4):272-274
CountryChina
Language:Chinese
Abstract: Objective To investigate the causes , surgical methods and complications of reoperation of thyroid carcinoma and management .Methods Clinical data of patients with thyroid carcinoma in Department of General Surgery of Tang Du Hospital during Jan .2007 to Apr.2012 were retrospectively analyzed .The causes and complications were studied.Results Postoperative complications happened to 5 cases(13.51%), among whom 2 cases had temporary recurrent laryngeal nerve palsy and they recovered after 2 to 6 months , 2 cases had temporary hypocalcemic convulsions and the symptom resolved after one-week treatment with intravenous calcium gluconate , and 1 case had bucking and recovered after one week of treatment .Conclusion For patients with thy-roid disease,detailed preoperative examination , intraoperative frozen pathological examination , intraoperative explo-ration and the right operation method are the key factors to prevent thyroid carcinoma reoperation .Careful dissection and gradually sever of upper pole of thyroid lobe reduce complications of thyroid carcinoma reoperation .