The Factors Related with Postoperative Complications in Benign Nodular Thyroid Surgery |
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Authors: | Aysun Simsek Celik Hasan Erdem Deniz Guzey Fatih Celebi Atilla Celik Selim Birol Rafet Kaplan |
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Affiliation: | (1) 2nd Department of General Surgery, Vakif Gureba Training and Research Hospital, Istanbul, Turkey;(2) Department of General Surgery, Umraniye Training and Research Hospital, Istanbul, Turkey;(3) 2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey;(4) Libadiye Caddesi, Soyak Goztepe Sitesi, 46. Blok, Daire: 813, Uskudar, 34700 Istanbul, Turkey |
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Abstract: | Thyroid gland is an important endocrine organ because of its functions. Although the morbidity and mortality of thyroid surgery have decreased markedly, serious complications may still occur. The aim of this retrospective study was to identify the factors influencing the complications in benign nodular thyroid surgery. A total of 332 patients who underwent thyroid surgery between April 2004 and May 2008 were evaluated retrospectively to identify the factors influencing the complications. We found that in surgery lasting more than 90 minutes the risk of permanent recurrent laryngeal nerve (RLN) injury was high, daily drainage more than 50 cc increases the risk of seroma formation, retrosternal goiter surgery have higher risk for bleeding. The flap edema rates were high found in the operations made by resident surgeon and patients with size 3–4 thyroid glands. Low complication rates can be achieved after thyroidectomy with better knowledge of the surgical anatomy of the neck, thyroid pathology and required surgical treatment. |
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Keywords: | Thyroidectomy Complications Influencing factors |
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