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Early and late complications after thyroid operations.

M H Max, M Scherm, K I Bland

    Southern Medical Journal
    |August 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Thyroid surgery offers acceptable risks, with low rates of mortality (0.7%) and complications like recurrent laryngeal nerve damage (0.6%) or permanent hypoparathyroidism (0.9%). Hypothyroidism after subtotal thyroidectomy was also manageable.

    Area of Science:

    • Endocrinology
    • Surgical Oncology
    • General Surgery

    Background:

    • Thyroid operations are common procedures for various thyroid diseases.
    • Assessing the risks associated with thyroid surgery is crucial for patient management.
    • Historical data provides valuable insights into surgical outcomes.

    Purpose of the Study:

    • To evaluate the morbidity and mortality rates of thyroid operations.
    • To identify factors contributing to adverse outcomes in thyroid surgery.
    • To compare surgical outcomes with alternative treatments like radioactive iodine ablation.

    Main Methods:

    • Retrospective review of 407 thyroid operations performed between 1958 and 1982.
    • Analysis of patient cases from a university-affiliated hospital.

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  • Assessment of complication rates including mortality, nerve damage, and hypoparathyroidism.

    • Main Results:

    • Overall mortality rate was 0.7%, linked to patient age, systemic disease, and delayed treatment.
    • Recurrent laryngeal nerve damage occurred in 0.6% of cases.
    • Permanent hypoparathyroidism affected 0.9% of patients.
    • Hypothyroidism occurred in 15.8% of patients after subtotal thyroidectomy with long-term follow-up.

    Conclusions:

    • Thyroid operations can be performed with acceptable morbidity and mortality.
    • Surgical outcomes are favorable compared to radioactive iodine ablation for Graves' disease.
    • Careful patient selection and surgical technique are important for minimizing risks.