AI Summary & Key Takeaways
AI InsightHemi- ortotal thyroidectomy at the primary surgery is recommended to reduce the frequency of reoperative thyroid surgery
📌 3 Key Takeaways
Özet
Objective: Reoperative thyroid surgery is rare and has a high complication rate. This retrospective cohort studywas performed to determine the recurrent laryngeal nerve injury and hypoparathyroidism rates after reoperativethyroid surgery in two university hospitals in Benghazi, Libya.Material and Methods: All consecutive patients who underwent reoperative thyroid surgery between January 2002 andJuly 2014 were included retrospectively. The cohort was divided according to whether the reoperation was in the previously operated lobe or both lobes (ipsilateral group), or only in the previously non-operated lobe (contralateral group).Results: Of the 73 patients, 66 were female and seven were male. The median age was 37 (19-80) years. Nine (12.3%), five(6.8%), and one (1.4%) patient developed postoperative transient hypocalcemia, transient recurrent laryngeal nerve palsy,and permanent recurrent laryngeal nerve injury, respectively. None of the patients developed permanent hypocalcemia.The ipsilateral group had a higher rate of permanent recurrent laryngeal nerve injury after reoperation than the contralateral group (3.1% vs. 0%). It also had higher rates of transient recurrent laryngeal nerve injury (12.5% vs. 2.4%) and transienthypocalcemia (28.1% vs. 0%), but the two groups did not differ in terms of permanent hypocalcemia rates (both 0%).Conclusion: Reoperative thyroid surgery is technically challenging with a high incidence of complications. Theipsilateral group had more complications after reoperative thyroid surgery than the contralateral group. Hemi- ortotal thyroidectomy at the primary surgery is recommended to reduce the frequency of reoperative thyroid surgery