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Tiroidektomi komplikasyonlari

Complications of Thyroid Gland Surgery

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Thyroid operations still have a high risk of complications. The complications and association with the type of operation were evaluated prospectively in 88 patients. Seventy-nine of them were operated on for primary, 6 of them for secondary and 3 of them for thyroid cancer. Bilateral thyroidectomy was performed in 69 patients and 19 patients had unilateral thyroidectomy. The only permanent palsy of RLN occured in a patient with thyroid malignancy following total thyroidectomy. In the 8 RLN nonidentified patients, 2 RLN injury occurred. Only 1 RLN injury occurred out of 80 RLN identified patients (p<0.01). Transient hypocalcemic patients were operated on bilaterally. Only one hypertrophic wound scar developed and no hemorrhage or wound infection occurred in all patients. RLN injury rate was 3.41% and hypocalcemia rate was 4.42% in our study. This study indicated that lower incidence of complication can be achieved by the identification of RLN and parathyroid glands during the operation by the experienced surgeons. [Journal of Turgut Özal Medical Center 1997;4(1):80-83]
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Abstract (Original Language): 
iroid operasyonlarının komplikasyon riski hala oldukça yüksektir. Kliniğimizde tiroid operasyonu olan 88 hastada komplikasyonlar ve tiroid operasyonları ile ilişkileri prospektif olarak çalışıldı. Hastaların 77'sine primer, 6'sına sekonder ve üçüne de tiroid kanser operasyonu uygulandı. Rekürrent laringeal sinir felci tiroid kanseri nedeni ile total tiroidektomi olan bir hastada görüldü. Rekürrent sinir identifiye edilmeden yapılan 8 tiroidektomiden 2 'sinde geçici rekürrent sinir hasarı olurken, identifiye edilerek yapılan 80 tiroidektomide yalnızca 1 rekürrent sinir hasarı oluştu (p<0.01). Geçici hipokalsemi oluşan 4 hastada bilateral tiroid operasyonu uygulanmıştı. Hastalarda kanama veya yara enfeksiyonu görülmedi. Yalnızca bir hastada yara yerinde skar dokusu oluştu. Çalışmamızda; rekürrent sinir felci oranı %3.41 ve hipokalsemi oranı %4.42 olarak bulundu. Bu çalışma; tecrübeli cerrahlar tarafından yapılan tiroid operasyonlarında, özellikle rekürrent sinirin ve paratiroid bezlerin identifiye edilmesi ile komplikasyon oranlarının düşük olacağını göstermiştir. [Turgut Özal Tıp Merkezi Dergisi 1997;4(l):80-83]
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  • 1
80-83
  • Turkish

REFERENCES

References: 

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