LANDMARK: Complications after thyroid surgery

Rosato L, Avenia N, Bernante P, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg. 2004;28(3):271-6.

Take Home Points:

  • This study looked at complication rates in 14,934 patients with 5 year follow up, who had various types of thyroid surgery (total thyroidectomy, total lobectomy, subtotal thyroidectomy, etc)
  • Complications rates were determined as follows:
    • Permanent hypoparathyroidism 1.7%
    • Transient hypoparathyroidism 8.3%
    • Permanent vocal cord paralysis 1.0%
    • ¬†Transient vocal cord paralysis 2.0%
    • SLN injury 3.7%
    • Dysphagia 1.4%
    • Hemorrhage 1.2%
    • Wound infection 0.3%