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. 2010 Apr;25(4):541-5.
doi: 10.3346/jkms.2010.25.4.541. Epub 2010 Mar 19.

Postoperative complications of thyroid cancer in a single center experience

Yong Sang Lee  1 , Kee-Hyun Nam, Woong Youn Chung, Hang-Seok Chang, Cheong Soo Park
Affiliations

Postoperative complications of thyroid cancer in a single center experience

Yong Sang Lee et al. J Korean Med Sci. 2010 Apr.

Abstract

The aim of this study was to investigate the complications following surgical treatment of thyroid cancer and the association between the extent of surgery and complication rates. A total of 2,636 patients who underwent surgery due to thyroid cancer were retrospectively reviewed to identify surgical complications. Complication rates were assessed according to the extent of surgery, which was classified as follows; less-than-total thyroidectomy with central compartment node dissection (CCND) (Group I, n=636), total thyroidectomy with CCND (Group II, n=1,390), total thyroidectomy plus ipsilateral neck dissection (Group III, n=513), and total thyroidectomy plus bilateral neck dissection (Group IV, n=97). The most common surgical complication was symptomatic hypoparathyroidism, of which 28.4% of cases were transient and 0.3% permanent. The other surgical complications included vocal cord palsy (0.7% transient, and 0.2% permanent), hematoma (0.5%), seroma (4.7%), chyle fistula (1.8%), and Horner's syndrome (0.2%). The complication rates increased significantly with increasing the extent of surgery from Group I to Group IV. The more extensive surgery makes more complications, such as hypoparathyroidism, seroma, and others.

Keywords: Intraoperative Complications; Lymph Node Excision; Thyroid Neoplasms; Thyroidectomy.

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References

    1. Moley JF, Fialkowski EA. Evidence-based approach to the management of sporadic medullary thyroid carcinoma. World J Surg. 2007;31:946–956. - PubMed
    1. Ready AR, Barnes AD. Complications of thyroidectomy. Br J Surg. 1994;81:1555–1556. - PubMed
    1. Jung YM, Kim JS, Park JS. Recurrence and complications from the surgical procedure for treating a papillary thyroid carcinoma. J Korean Surg Soc. 2001;61:135–141.
    1. Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, Mandel SJ, Mazzaferri EL, McIver B, Sherman SI, Tuttle RM. The Americal Thyroid Association Guidelines Taskforce. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2006;16:109–142. - PubMed
    1. Harness JK, Fung L, Thompson NW, Burney RE, McLeod MK. Total thyroidectomy: complications and technique. World J Surg. 1986;10:781–786. - PubMed