Abstract
Specific complications after thyroid surgery, such as recurrent laryngeal nerve injury (RLN) or hypoparathyroidism, are feared because they may give rise to a lifelong disability for the patient. The aim of this study was to evaluate the possible association between the types of device used (bipolar vs ultrasound-based harmonic scalpel defined Harmonic Focus) and major postoperative complications. During a 1-year period, between October 2010 and October 2011, Italian Endocrine Surgery Units affiliated with the Italian Endocrine Surgery Units Association collected data on all consecutive patients older than 18 years who had undergone primary total thyroidectomy, near total thyroidectomy, and completion thyroidectomy. The data were included in a dataset, listing demographic variables, details on the surgical procedure, and 2 major complications of the thyroid surgery: postoperative RLN palsy/hypomobility and hypocalcemia. Our population comprised 1,846 subjects (78.6% women, median age 52 years). Six hundred four (32.7%) subjects underwent thyroidectomy by bipolar forceps and 1,242 (67.3%) by ultrasonic device. The risk of hypocalcemia in subjects undergoing thyroidectomy by ultrasonic device was similar to those undergoing thyro...Continue Reading
References
Oct 27, 1997·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·K H Hong, Y K Kim
Jan 9, 1998·Journal of Voice : Official Journal of the Voice Foundation·F DebruyneW Wellens
Jun 24, 2000·World Journal of Surgery·T Reeve, N W Thompson
Oct 19, 2000·World Journal of Surgery·O ThomuschH Dralle
Nov 28, 2002·Annals of Surgery·Alexander StojadinovicDennis H Kraus
Feb 13, 2004·World Journal of Surgery·Lodovico RosatoLuciano Pezzullo
Mar 5, 2005·Surgery·Carlos CordónMiguel F Herrera
Mar 8, 2005·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·F O AgadaR J A England
Oct 15, 2005·BMJ : British Medical Journal·Deborah M CaldwellJ P T Higgins
Mar 10, 2007·World Journal of Surgery·Matthew L WhiteGerard M Doherty
Nov 24, 2007·Journal of the American College of Surgeons·J Pieter NoordzijMary S Dietrich
Jan 18, 2008·World Journal of Surgery·Fredric M Pieracci, Thomas J Fahey
Mar 8, 2008·Advances in Therapy·Osman YildirimCengiz Omer
Jul 16, 2008·Langenbeck's Archives of Surgery·Celestino Pio LombardiRocco Bellantone
Jul 18, 2008·Langenbeck's Archives of Surgery·A BergenfelzI Lausen
Sep 27, 2008·Acta otorrinolaringológica española·Paolo AluffiFrancesco Pia
Sep 30, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yoann PonsClaude Conessa
Jul 14, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Noah B SandsMichael Tamilia
Aug 4, 2011·American Journal of Surgery·Michel MouradLuc De Pauw
Nov 28, 2012·BMC Surgery·Rita GervasiAlessandro Puzziello
Jan 22, 2013·Endocrine·Giovanni ConzoLuigi Santini
Jan 31, 2013·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Aleksander KonturekWojciech Nowak
Mar 9, 2013·Thyroid : Official Journal of the American Thyroid Association·George GarasEmmanouil Zacharakis
Feb 25, 2014·Endocrine·Alessandro PuzzielloMaurizio De Palma
Citations
Mar 25, 2016·Surgical Innovation·Abdulrahman Y HammadEmad Kandil
Feb 22, 2017·American Journal of Surgery·Mehmet Aykut YildirimGurcan Simsek
Dec 2, 2017·Ultrasound Quarterly·Jiayi XingJianchu Li
Jul 25, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nadia HuaStephanie Johnson-Obaseki
Jun 11, 2020·The Journal of Laryngology and Otology·A E L McMurranV Kim
Jun 29, 2018·BJS Open·C BlanchardUNKNOWN FOThyr Group
Oct 18, 2018·Acta Cirúrgica Brasileira·Octavio Antonio Azevedo da Costa-FilhoJurandir Marcondes Ribas-Filho
Sep 19, 2019·Surgery·Emin KoseEren Berber