مجله علمی دانشگاه علوم پزشکی کردستان (Jan 2025)
Complications of Thyroidectomy Using Advanced Electrosurgical System and its Related Factors in kurdistan University of Medical Sciences in 2021-2022
Abstract
Background and Aim: Common methods used in thyroidectomy include total thyroidectomy, subtotal thyroidectomy, and lobectomy. Due to higher treatment costs and lower quality of life of the patients suffering from complications of thyroidectomy, development of new surgical methods is nesessary. Materials and Methods: In this cohort study, 64 patients underwent thyroid surgery. The clinical information of the patients including pathology report, thyroid volume, TSH level, duration of operation, amount of bleeding during and after operation, duration of hospitalization, hematoma, wound infection, hypocalcemia and recurrent laryngeal nerve damage and Horner syndrome, were collected based on the review of the medical records, follow- up of the patients, the type of surgery (lobectomy and ismectomy, subtotal thyroidectomy and total thyroidectomy) and the complications and factors related to them, after one month of follow-up were investigated. Results: The results showed that the mean age of the patients was 42.17 year and 54 (84.4%) of them were women. The average intraoperative and postoperative bleeding were 31.09 and 12.81cc respectively. Intraoperative bleeding in the patients with subtotal thyroidectomy surgery was higher than those in the other two methods and showed a significant relationship (P=0.008) but there was no statistically significant difference in the postoperative bleeding among the three surgical methods (P=0.552). The operation time was slightly higher in the total thyroidectomy method but did not show a significant difference (P=0.058) among the three methods. Conclusion: The results of this study showed that intraoperative bleeding in the patients with subtotal thyroidectomy was higher than those in the other two methods, and no difference was observed in the amount of postoperative bleeding in the three surgical methods. The operation time was slightly higher in the total thyroidectomy method. In this study, surgical procedures were performed by the final year surgical residents with full supervision and the help of experienced specialists. The incidence of complications was closely related to these factors.
