Prevention of the complications in reoperation for thyroid diseases

VernacularTitle:甲状腺再手术并发症的预防
Author: Xueqing JIANG ; Ming JIANG ; Yuan ZHONG ; Zhiyong WU
Publication Type:Journal Article
Keywords: Thyroid disease; Reoperation
From: Journal of Endocrine Surgery 2009;3(6):393-395
CountryChina
Language:Chinese
Abstract: Objective To discuss the operative technical details in reducing complications after thyroid diseases reoperation, especially how to choose operative method and preserve laryngeal recurrent nerve and parathyroid gland. Methods The study protocols of 183 patients undergoing reoperation for thyroid disease from Jan. 2000 to Mar. 2009 were reviewed. There were 115 cases of benign and 68 cases of malignant thyroid diseases to observe the postoperative complications. Results The rates of temporary and permanent laryngeal recurrent nerve injury were 4.92% (9/183) and 1.64% (3/183), respectively. The rates of temporary and permanent hypocalcemia were 4.37% (8/183) and 0.55% (1/183), respectively. The rate of postoperative internal hemorrhage was 0.55%(1/183). Conclusions The thyroid reoperation was more difficult and can seduced a high rate surgical complication. The thyroid reoperation can be successfully performed if the operators could pay attention to the operative skill.