Complications after Surgery for Well-differentiated Thyroid Carcinoma in Otolaryngology Department, Maharat Nakhon Ratchasima Hospital
Abstract
The aim of this study was to evaluate complications after thyroid surgery in well-differentiated thyroid cancer in the Otolaryngology Department of Maharat Nakhon Ratchasima Hospital. The hospital records of all patients undergoing thyroid surgery for well-differentiated thyroid cancer between January 2014 to December 2018 in the Otolaryngology Department of Maharat Nakhon Ratchasima Hospital were analyzed retrospectively. Our findings showed that, of 270 patients, papillary thyroid cancer was present in 210 patients and follicular thyroid cancer in 60 patients. 160 of 210 patients (59.3%) underwent one-stage surgery, of whom 122 (45.2%) received simultaneous selective neck dissection II-VI. The remaining 110 patients (40.7%) underwent two-stage completion surgery (5 patients with selective neck dissection II-VI). Patients with onestage surgery had a higher rate of postoperative hypocalcemia. 35 patients (13%) had postoperative true vocal cord paralysis, of whom 31 (11.5%) had permanent paralysis. Of 43 patients who received simultaneous selective neck dissection II-VI, 4 patients (9.3%) had chyle leakage. In conclusion, improvements in surgical techniques and experiences can reduce postoperative complications. Postoperative observation is important to detect complications and early management can reduce morbidity and mortality
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