Total thyroidectomy is safer with identification of recurrent laryngeal nerve |
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| Authors: | Hakan Canbaz Musa Dirlik Tahsin Colak Koray Ocal Tamer Akca Oner Bilgin Bahar Tasdelen Suha Aydin |
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| Institution: | [1]Department of General Surgery, Faculty of Medicine, Mersin University, 33079 Mersin, Turkey [2]Department of Biostatistics, Faculty of Medicine, Mersin University, 33079 Mersin, Turkey |
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| Abstract: | Objective: To investigate the effect of recurrent laryngeal nerve (RLN) identification on the complications after total thyroidectomy and lobectomy. Methods: Total 134 consecutive patients undergoing total thyroidectomy or thyroid lobectomy from January 2003 to November 2004 were investigated retrospectively. Patients were divided into two groups: RLN identified (Group A) or not (Group B). The two groups were compared for RLN injury and hypocalcaemia. Results: The numbers of patients and nerves at risk were 71 and 129 in Group A, and 63 and 121 in Group B, respectively. RLN injury in Group A (0) was significantly lower than that in Group B (57.9%]) patients, 7 5.8%] nerves) for the numbers of patients (P=-0.016) and nerves at risk (P=0.006). Temporary hypocalcaemia was significantly higher in Group A than in Group B (14 24.1%] vs 6 10.3%], P=0.049).Permanent complications in Group B were significantly higher than those in Group A (13 20.6%] vs 4 5.6%], P=0.009). Conclusion: RLN injury was prevented and permanent complications were decreased by identifying the whole course and branches of the recurrent laryngeal nerve during total thyroidectomy. |
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| Keywords: | Total thyroidectomy Lobectomy Recurrent laryngeal nerve (RLN) identification Complication |
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