[Early complications in surgical treatment of thyroid diseases: analysis of 2100 patients].

摘要: Thyroid gland surgery today is not saddled with high incidence of main complications. Miscellaneous surgical institutions different approach, operative technique and radicality have published reports great discrepancy in complications, analyzing them methods diagnosis result evaluation. In the same way it well known that higher latitude procedure gave better control thyroid diseases, but can be accompanied more All motivate us to analyze complications treatment our patients under criteria, hypothesis do increase this correlations results world literature. Aim nonrandomized study was for huge number consecutively operated teaching hospital, compare according group diseases procedures, final Complications were analyzed retrospectively period 1988-1997 (Group I) prospectively 1998-2002 II). Operations performed by 20 surgeons young during their education. We only first 30 days after operation. Group I there 1425 1451 operations (192 malignancies, 247 hyperthyreosis, 98 reoperations, 13% thyroidectomies 14.8% lobectomies), complication rate 14.3%. Most common recurrent laryngeal nerve injury 9.3% or 6.3% exposed nerves (nerve at risk), then postoperative hypocalcemia 4.7% (persistent 1.3%). II 675 687 (96 111 35 36.6% thyreoidectomies 25% 10.7%. 5% 0.7%), 4.4% 2.9% nerves. Incidence less frequent than I, highly statistically significant (p < 0.01), while other no difference. Totally both groups 0.7% tracheotomies, bleeding 1.1% patients, wound hemathoma 0.5%. infections 0.9%, pneumonia 0.5%, mortality 0.5% most cause death (8/11) problem respiration, Airway obstruction. total relation lobectomy contra lateral subtotal lobectomy. totally extensive procedure, malignant hyperthyreosis. improved (micro dissection, visualization parathyroid preservation), influence on even significantly frequent. This are correlation similar hospitals around world.