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Analysis and outcomes of wrong site thyroid surgery.
Gianlorenzo Dionigi1, Marco Raffaelli2, Rocco Bellantone2
1Division of Endocrine and Minimally Invasive Surgery, University of Messina, Messina, Italy.
BMC Surgery
|June 5, 2021
Summary
Wrong-site surgery (WSS) is a rare but serious event in thyroid surgery. This study highlights 5 cases over 20 years, emphasizing the need for discussion on causes and prevention.
Area of Science:
- Surgical Safety
- Patient Harm Reduction
Background:
- Wrong-site surgery (WSS) is infrequently reported in thyroid surgery literature.
- Despite rarity, WSS represents a significant patient safety concern.
Purpose of the Study:
- To report and analyze cases of wrong-site surgery (WSS) in thyroid procedures.
- To discuss the etiologic causes, outcomes, and preventive strategies for WSS in thyroid surgery.
Main Methods:
- Retrospective review of 5 wrong-site surgery (WSS) cases over a 20-year period.
- Stratification of WSS subtypes: wrong target, wrong side, wrong procedure, and wrong patient.
- Analysis of surgical context, patient pathology, and legal outcomes.
Main Results:
- Five cases of WSS occurred in elective thyroid surgeries performed at low-volume hospitals.
- Includes 4 wrong-target procedures (thymectomies, lymph node excision) and 1 wrong-side procedure.
- 40% of WSS cases resulted in legal action or monetary settlement.
Conclusions:
- Wrong-site surgery (WSS) occurs in thyroid surgery and requires greater attention.
- Serious complications of WSS necessitate discussion within the surgical community.
- Preventive strategies and expert opinions on WSS are crucial for improving patient safety.
