[Complications in bland struma surgery. A retrospective study based on 2,035 personal cases].
In the present retrospective study we examine the complications arising from simple goiter operations based on the analysis of 2,035 cases. The mortality rate is extremely low (0.3%). The most typical intraoperative complications - such as unilateral vocal cord paralysis (1.6%) and permanent parathyroprival hypocalcemia (0.4%) were observed to occur much more frequently in cases of subtotal thyroidectomy than in those of partial resection. - As a result of the introduction of synthetic reabsorbent sewing materials, healing problems have been drastically reduced (0.4%). Hypothyreosis and goiter recurrence can be avoided in cases of subtotal thyroidectomy by life-long and individually adjusted administration of thyroid hormones (rate of incidence in our study 3.1%). - In our view a subtotal thyroidectomy is indicate in cases where malignity is suspected (one or more cold nodules).
Vara-Thorbeck
R
R
Chirurgischen Universitätsklinik, Granada.
Tovar
J L
JL
Rosell
J
J
Guerero
J A
JA
Ruiz
M
M
Salvi
M
M
Morales
O I
OI
Vara-Thorbeck
C
C
D000328:Adult; D000368:Aged; D005260:Female; D006043:Goiter, Endemic / Q000601:surgery*; D006111:Graves Disease / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D061224:Laryngeal Nerve Injuries; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000293:injuries; D011183:Postoperative Complications / Q000209:etiology*; D061226:Recurrent Laryngeal Nerve Injuries; D012189:Retrospective Studies; D012307:Risk Factors; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods*; D014945:Wound Healing
Die Komplikationen bei blander Strumenoperation. Retrospektive Studie anhand von 2035 eigenen Fällen.