Gopalakrishna Iyer N, Shaha A R
Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Minerva Chir. 2010 Feb;65(1):71-82.
The essentials of thyroid surgery include intimate knowledge of thyroid gland anatomy, sound understanding of thyroid pathology and meticulous technique. While mortality due to thyroid surgery is rare, complications can result in debilitating sequelae. Thyroid surgeons need to understand and anticipate situations when these may occur, and actively take steps to prevent them, as treatment of these complications is often difficult and frustrating. Surgeons also need to maintain an audit of their own complication rates and convey these to patients instead of quoting data from published literature, which is biased towards high-volume specialized units rather than "real world data". This review addresses the common complications that occur during thyroid surgery and the issues therein.
甲状腺手术的要点包括对甲状腺解剖结构的深入了解、对甲状腺病理学的透彻理解以及精湛的技术。虽然甲状腺手术导致的死亡罕见，但并发症可能会引发使人虚弱的后遗症。甲状腺外科医生需要了解并预见这些并发症可能发生的情况，并积极采取措施预防，因为这些并发症的治疗往往困难且令人沮丧。外科医生还需要持续审查自己的并发症发生率，并将这些情况告知患者，而不是引用已发表文献中的数据，因为这些数据偏向于高容量的专业单位，而非“真实世界的数据”。本综述探讨了甲状腺手术期间发生的常见并发症及其相关问题。
