TOTAL THYROIDECTOMY- COMPLICATIONS AND MANAGEMENT-AN INSTITUTIONAL AUDIT

Dr. Pranabashish Banerjee, Dr. Arunava Ghosh, Dr. Sangeeth Prakash, Dr. Gautam Das

Abstract


Thyroid disorders are one of the most common endocrine diseases known worldwide for which patients require medical or surgical intervention. There had been tremendous increase in the incidence and prevalence of various benign and neoplastic pathologies of the gland in the recent past and hence their respective surgical interventions too have increased proportionately. Thyroid pathology is extremely common in the sub Himalayan terrain and considering the geographical location of North Bengal Medical College, we had been performing a significant number of thyroid surgeries since a long time. Our present study is a descriptive retrospective cohort study which deals with the complications after total or completion thyroidectomy with or without neck dissection.(CND with/without MRND). A detailed review of the complications along with the management and its respective literature review are also presented herewith.


Keywords


Total Thyroidectomy, Hypocalcemia, RLN palsy

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References


Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States,1996-2006.Thyroid.2013;23727–33.

Hegner CF. A history of thyroid surgery. AnnSurg.1932;95481–92.

Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy.Ann Surg.1998;228320–30.

Duclos A, Peix JL, Colin C, Kraimps JL, Menegaux F, Pattou F,et al. Influence of experience on performance of individual surgeons inthyroid surgery: Prospective crosssectional multicentre study. BMJ.2012;344d8041

Yan HX, Pang P, Wang FL, Tian W, Luo YK , Huang W,et al. Dynamic profile of differentiated thyroid cancer in male and female patients with thyroidectomy during 2000-2013 in China: A retrospectivestudy.SciRep.2017;715832.

Huang CF, Jeng Y, Chen KD , YuJK, ShihCM, HuangSM, et al. The preoperative evaluation prevents the postoperative complications of thyroidectomy. AnnMedSurg(Lond)2015;45–10

Abboud B, Sargi Z, Akkam M, Sleilaty F. Risk factors for postthyroidectomy hypocalcemia. J AmCollSurg.2002;195456–61.[PubMed][GoogleScholar]

Seo ST, Chang JW, Jin J, Lim YC, Rha KS, Koo BS.Transient and permanent

Hypocalcemia after total thyroidectomy : Early predictive factors and long-term follow-up results. Surgery.2015;1581492–9.[PubMed][GoogleScholar]

Suwannasarn M, Jongjaroenprasert W, Chayangsu P, Suvikapakornkul R , Sriphrapradang C. Single measurement of intact parathyroid hormone after thyroidectomy can predict transient and permanent hypoparathyroidism: A prospective study. AsianJSurg.2017;40350-6.

ChangYK, LangBHH. To identify or not to identify parathyroid glands during total thyroidectomy.GlandSurg.2017;6(1):S20-9

EdafeO,AntakiaR,LaskarN,UttleyL,BalasubramanianSP.Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia.BrJSurg.2014;101(4):

-20.

Khazaeni K, Mousavi V. Surgical and Clinical Risk Factors of Postoperative Hypocalcemia after Total Thyroidectomy. AmJOtolaryngolHead NeckSurg.2019;2(1):1031.

P.Tredici,E.Grosso,B.Gibelli,M.A.Massaro,C.Arrigoni,N.Tradati. Identification of patients at high risk for hypocalcemia after total thyroidectomy.Acta Otorhinolaryngol Ital 2010;30144-148

Asari R, Passler C, Kaczirek K, etal.Hypoparathyroidism after total thyroidectomy: a prospective study. ArchSurg 2008; 143132-7.

DelRio P,Arcuri M F, Ferreri G,et al.The utility of serum PTH assessment 24 hours after total thyroidectomy. OtolaryngolHeadNeckSurg2005;32584-6.

LindblomP, Westerdahl J, Bergenfelz A. Low parathyroid hormone levels after thyroid surgery: a feasible predictor of hypocalcemia. Surgery 2002;131515-20.

Gaëtan-Romain Joliat, Valentine Guarnero, Nicolas Demartines, ValérieSchweizer, Maurice Matter. Recurrent laryngeal nerve injury after thyroid and parathyroid surgery. Medicine (Baltimore). 2017 Apr; 96(17): e6674.

Steurer M, Passler C, Denk DM, et al. Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examinationin more than 1000 nerves at risk. Laryngoscope2002;112124–33.[PubMed][GoogleScholar]

Mra Z,Wax MK. Nonrecurrentlaryngealnerves: anatomic considerations during thyroid and parathyroid surgery. AmJOtolaryngol1999;2091–5.[PubMed][GoogleScholar]

Page C, Cuvelier P, Biet A, et al. Value of intra-operative neuromonitoring of the recurrent laryngeal nerve in total thyroidectomy for benign goitre.JLaryngolOtol2015;129553–7. [PubMed][GoogleScholar]

Pisanu A, Porceddu G, Podda M, et al. Systematic review with meta-analysis of studies comparing intraoperative neuromonitoring of recurrent laryngeal nerves versus visualization alone during thyroidectomy. JSurgRes2014;188152–61.[PubMed][GoogleScholar]

Rosato L, Avenia N, Bernante P,et al.Complications of thyroid surgery: analysis Of a multicentric study on 14,934 patients operated on in Italy over 5 years.World J Surg2004;28271–6.[PubMed]


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