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[Complications after total thyroidectomy in thyroid carcinoma].

S De Leo1, G M Giustozzi, C Boselli

  • 1Istituto di Clinica Chirurgica Generale, Università degli Studi di Perugia.

Minerva Chirurgica
|December 1, 1991
PubMed
Summary

Total thyroidectomy for thyroid cancer in 52 patients showed low complication rates. Transient hypocalcemia occurred in 8 patients, with permanent hypoparathyroidism in 2. Recurrent laryngeal nerve issues were also noted.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Otolaryngology

Background:

  • Total thyroidectomy is a surgical procedure for thyroid cancer.
  • Assessing postoperative complications is crucial for patient outcomes.
  • Understanding complication rates informs surgical practice and patient counseling.

Purpose of the Study:

  • To evaluate the postoperative complication rate following total thyroidectomy for thyroid cancer.
  • To categorize and analyze specific and surgery-related complications.
  • To provide data on the incidence of hypocalcemia and recurrent laryngeal nerve issues.

Main Methods:

  • Retrospective analysis of 52 patients undergoing total thyroidectomy for thyroid cancer (1984-1989).
  • Complications were categorized into nonspecific (e.g., infections, failures) and surgery-related (e.g., hypocalcemia, nerve paralysis).

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  • Data collected on patient demographics, cancer type, and postoperative events.

    • Main Results:

    • Overall complication rate was relatively low.
    • Nonspecific complications included one respiratory failure, one wound seroma, two granulomas, and three drug-induced erythemas.
    • Surgery-related complications included transient hypocalcemia in 8 patients (2 permanent hypoparathyroidism), and transient recurrent laryngeal nerve paralysis in 5 patients.

    Conclusions:

    • Total thyroidectomy for thyroid cancer can be performed with a manageable complication profile.
    • Transient hypocalcemia and recurrent laryngeal nerve dysfunction are the most common surgery-related complications.
    • Long-term outcomes regarding vocal cord function and calcium metabolism require continued monitoring.