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Postoperative Complication Rate in Recurrent Benign Goiter - a Retrospective Analysis

I. Rachkov, A. Zdraveski, K. Ivanova, G. Minkov, A. Petrov, S. Nikolov, Y. Yovchev

Abstract


Background: Recurrent benign goiter remains an unsolved problem in the modern endocrine surgery based on the high rate of postoperative complications.Materials and Methods: A retrospective analysis was conducted extracting data from our endocrine surgical database for the period 1997 - 2013. 804 patients with pathology of thyroid gland in total were operated on in the Surgical Department of the University Hospital Stara Zagora. Fifty (6.2%) of them underwent elective surgery for recurrent benign goiter. From them, 8 (16%) were male and 42 (84%) were female. According to the type of the surgical procedure: unilateral lobectomy (n-9, 18%); subtotal thyroidectomy (n-17, 34%); thyroidectomy (n-20, 40%); partial lobectomy (n-4, 8%). We observed early postoperative complications such as bleeding, laryngeal nerve injury, and hypoparathyroidism. Results: After the elective surgery, we observed early postoperative bleeding in 2 patients (4%), one patient was with permanent laryngeal nerve paralysis (2%), two patients had transient nerve injury (4%) and just one patient had evidence of postoperative hypoparathyroidism (2%). In our study group none of patients had tracheal injury, ductus thoracicus, and oesophagus injury. Our mortality was zero. All patients with postoperative complications underwent thyroidectomy as a surgical procedure. Conclusion: We conclude that the percentage of postoperative complications is mainly associated with the need of thyroidectomy, which is a difficult procedure due to the impaired anatomy from previous surgical procedures.

Keywords

Keywords: recurrent benign goiter, postoperative complications




DOI: http://dx.doi.org/10.14748/ssm.v48i0.2289

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About The Authors

I. Rachkov

A. Zdraveski

K. Ivanova

G. Minkov

A. Petrov

S. Nikolov

Y. Yovchev

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