Tiroid cerrahisinin sonuçları ve komplikasyonları: 330 vakalık kişisel seri

Amaç: Bu çalışmada, 330 tiroidektomi ameliyatı sonrası ortaya çıkan komplikasyon oranlarını ilan edilmiş oranlarla karşılaştırmak ve halen uygulanmakta olan tiroidektomi tekniğini gözden geçirmek amaçlandı. Yöntem: Ocak 2001 ve Eylül 2005 yılları arasında Artvin ilindeki Arhavi ve Borçka Devlet hastanelerinde selim tiroid hastalıkları ön tanısıyla tiroidektomi yapılan 330 hastanın kayıtları retrospektif olarak incelenerek komplikasyon oranları belirlendi. Bulgular: Hiçbir hastada ameliyata bağlı mortalite, kalıcı rekürren laringeal sinir hasarı, kanama, yara enfeksiyonu ve hipertiroidi nüksü görülmedi. 7 (% 2.1) hastada geçici rekürren laringeal sinir hasarı, 4 (% 1.2) hastada geçici hipoparatiroidi, 1 (% 0.3) hastada kalıcı hipoparatiroidi ve 138 (% 44.2) hastada hipotiroidi görüldü. Sonuç: Tiroidektomi sonrası ortaya çıkan komplikasyon oranlarımızı literatürde belirtilen oranlardan düşük bulduk. Halen uygulanmakta olan tiroidektomi tekniğinin güvenilir olduğu kanaatindeyiz.

Anahtar Kelimeler:

Ameliyat sonrası komplikasyonlar, Hipotiroidi, Tekrarlayan laringeal sinir, Geriyedönük çalışma, Tiroidektomi

Outcomes and complications of thyroid surgery: Personal series of 330 cases

Objective: In this study, we aimed to compare the complication rates of 330 thyroidectomy operations with published rates and to scrutinize surgical technique which is still applied. Method: The records of 330 patients who undergone thyroidectomy operations due to benign thyroid diseases at Arhavi and Borçka Goverment Hospitals between January 2001 and September 2005 were examined retrospectively and the complication rates determined. Results: Operation related mortality, permanent recurrent laryngeal nerve injury, hemorrhage, wound infection, recurrent hyperthyroidism were not occurred in any cases. In 7 (2.1 %) cases temporary recurrent laryngeal nerve injury, in 4 (1.2 %) cases temporary hypoparathyroidism, in 1 (0.3 %) cases permanent hypoparathyroidism and in 138 (44.2 %) cases hypothyroidism occurred. Conclusion: We found that our complications rates after thyroidectomy were less than the published rates. Surgical technique which is still applied is safe.

Keywords:

Postoperative Complications, Hypothyroidism, Recurrent Laryngeal Nerve, Retrospective Studies, Thyroidectomy,

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