Efficacy of prevention of recurrent laryngeal nerve injury in thyroid surgery

To evaluate the effectiveness of prevention of recurrent laryngeal nerve injury depending on thyroid gland lesion and extent of surgery. There were 2412 thyroid surgeries between 2000 and 2020. Patients were divided into the main group (1689 patients) and the control group (729 patients). Patients w...

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Bibliographic Details
Published in:	Hirurgija (Moskva) no. 7; p. 85
Main Authors:	Zakhokhov, R M, Tlupova, T G, Zhurtova, I B, Mukaev, A A, Bakov, Z N, Teuvazhukova, D A
Format:	Journal Article
Language:	English Russian
Published:	Russia (Federation) 2024
Subjects:	Adult Female Humans Male Middle Aged Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - prevention & control Recurrent Laryngeal Nerve Injuries - etiology Recurrent Laryngeal Nerve Injuries - prevention & control Russia - epidemiology Thyroid Diseases - surgery Thyroid Gland - surgery Thyroidectomy - adverse effects Thyroidectomy - methods Russia thyroid gland recurrent laryngeal nerve injury postoperative morbidity dysphonia
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Summary:	To evaluate the effectiveness of prevention of recurrent laryngeal nerve injury depending on thyroid gland lesion and extent of surgery. There were 2412 thyroid surgeries between 2000 and 2020. Patients were divided into the main group (1689 patients) and the control group (729 patients). Patients with nodular thyroid gland lesions prevailed in both groups (987 (58.4%) and 415 (56.9%), respectively). All ones underwent atraumatic extrafascial desection and thyroid resection (ultrasonic scalpel). He upper laryngeal nerve injury occurred in 35 cases (1.4%). The number of surgeries with thyroid remnant preservation was significantly lower in the main group. The number of procedures with subtotal thyroid resection and thyroidectomy increased by 2.4 times (from 414 to 1010 operations, <0.05). Improvement of surgical treatment of thyroid gland lesions consisting in new operative technique of recurrent laryngeal nerve isolation using ultrasonic scalpel reduces the incidence of recurrent laryngeal nerve injury from 2.3% to 1%. At the same time, the number of extended procedures in the main group significantly exceeded that in the control group (by 2.5 times).
ISSN:	0023-1207
DOI:	10.17116/hirurgia202407185