[Analysis of early surgical complications after strumectomy].
The aim of the study was the analysis of early surgical complications after strumectomy.


METHODS
The study involved 578 patients operated on in I Clinic of General Surgery and Transplant at the Medical Academy in Lublin in the years 1999-2002. The largest group of the operated patients was the one with a non-toxic (neutral) goitre (60.1%). Most of the patients in this group had multinodular neutral goitre. The amount of the surgically treated patients because of the hyperactive goitre prevailed in this group.


RESULTS
Early postoperative complications were observe d in 35 cases, which comprise 6.05% of the operated patients. On the basis of the obtained results, we stated that there are evident differences in the frequency of occurrence of early complications depending on the type of the goitre. We concluded that statistically they were more frequent in patients operated on because of Graves-Basedov disease as well as in patients with Hashimoto goitre (chi2 test p < 0.001). The amount of the strumectomy operations conducted annually by a surgeon did not have direct influence on the occurrence of the early complications.


CONCLUSIONS
Early postoperative complications after strumectomy are more frequent in patients operated on because of diseases of autoimmunological basis. Operations of the thyroid gland and trainings in the surgery of the thyroid gland should take place in centers where large amount of such operations are conducted.
Rudzki
Sławomir
S
Z I Katedry i Kliniki Chirurgii Ogólnej i Transplantacyjnej.
Matuszek
Mariusz
M
Matras
Przemysław
P
Gernand
Wojciech
W
Solski
Janusz
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D005260:Female; D006111:Graves Disease / Q000150:complications* / Q000453:epidemiology / Q000601:surgery*; D050031:Hashimoto Disease / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D013965:Thyroidectomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000453:epidemiology / Q000209:etiology