ArticleLangenbeck's archives of surgery2015
Mortality after thyroid surgery, insignificant or still an issue?
Article in Langenbeck's archives of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 41 citations in OpenAlex.
- Molecular Testing for Thyroid Nodules of Indeterminate Cytology: A Health Technology Assessment.Ontario health technology assessment series · 2022Trial
- Risk Factors for Postoperative Hemorrhage Following Thyroid Surgery: Results of a Case-Control Study and Development of a Stratified Risk Model Using Random Forest Analysis.Journal of clinical medicine · 2026Article
- Professional liability due to complete esophagus section during thyroidectomy: a rare case report.Gland surgery · 2023Article
- Large goiters and postoperative complications: does it really matter?Langenbeck's archives of surgery · 2023Article
- Analysis of preoperative influential factors and construction of a predictive nomogram of difficult thyroidectomy.BMC surgery · 2023Article
- Discrepancies in Thyroidectomy Outcomes Between General Surgeons and Otolaryngologists.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- The effect of surveillance for differentiated thyroid carcinoma in childhood cancer survivors on survival rates: a decision-tree-based analysis.Endocrine connections · 2022Review
- Loupe Assisted Thyroidectomy: A Tool for Reducing Complications.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Unexpected deaths after endocrine surgery: learning from rare events using a national audit of surgical mortality.The British journal of surgery · 2022Article
- Does the continuation of low-dose acetylsalicylic acid during the perioperative period of thyroidectomy increase the risk of cervical haematoma? A 1-year experience of two Italian centers.Frontiers in surgery · 2022Article
- Microscopic Thyroidectomy: The Way We Do It.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2020Article
- Patient, thyroid, and surgeon related factors that make thyroidectomy difficult-cohort study.Annals of medicine and surgery (2012) · 2020Article
- Morbidity following thyroid surgery: acceptable rates and how to manage complicated patients.Journal of endocrinological investigation · 2019Review
- Does antithrombotic prophylaxis worsen early outcomes of total thyroidectomy? - a retrospective cohort study.BMC surgery · 2019Article
- [Accidental esophageal resection in subtotal parathyroidectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
- Use of loupes magnification and microsurgical technique in thyroid surgery: ten years experience in a single center.Il Giornale di chirurgiaArticle
- Minimally Invasive Video-Assisted Total Thyroidectomy (mi V.A.T.T.) - Case Series of 48 Patients.Current health sciences journalArticle
Corrections and comments
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Authors and funding
7 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThyroidectomy is considered to be a safe procedure. Although very uncommon, death may occur after thyroid resection. The aim of this study was to investigate the prevalence and causes of death after thyroidectomy and the associated risk factors in the modern era of thyroid surgery. PATIENTS AND
methodsA structured questionnaire was sent to all endocrine surgery units in Spain to report all deaths that occurred after thyroidectomy in recent years.
resultsTwenty-six surgical units, encompassing 30.495 thyroidectomies, returned the questionnaire. A total of 20 deaths (0.065%) were recorded: 12 women (60%) and 8 men (40%) with a median age of 65 years (range 32-86). Half of the patients had a retrosternal goiter with a median weight of 210 g. The median operative time was 185 min. Histological diagnoses were benign goiter (35%) or thyroid carcinoma (65%): differentiated (30%), medullary (20%), poorly differentiated/anaplastic (10%), and colorectal cancer metastasis (5%). Causes of death were cervical hematoma (30%), respiratory distress/pneumonia due to prolonged endotracheal intubation (25%), tracheal injury (15%), heart failure (15%), sepsis (wound infection/esophageal perforation) (10%) and mycotic aneurysm (5%). The median time from surgery to death was 14 days (range 1-85).
conclusionsDeath after thyroidectomy is very uncommon, and most often results from a combination of advanced age, giant goiters, and upper airway complications.
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