Evidence map›Paper›PMID 36561510›Full record

ReviewInnovative surgical sciences2022

Surgical tips and techniques to avoid complications of thyroid surgery.

Christos K Stefanou, Georgios Papathanakos, Stefanos K Stefanou, Kostas Tepelenis, Aikaterini Kitsouli, Alexandra Barbouti, Periklis Tsoumanis, Panagiotis Kanavaros, Panagiotis Kitsoulis

Open access · goldAbstract readReview
In one paragraph

Review in Innovative surgical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Implication of surgical loupes on complications following thyroidectomy: a meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Christos K StefanouDepartment of Surgery, General Hospital of Filiates, Thesprotia, Greece.ORCID https://orcid.org/0000-0002-7322-9485
Georgios PapathanakosIntensive Care Unit, University Hospital of Ioannina, Ioannina, Greece.
Stefanos K StefanouDepartment of Endocrine Surgery, Henry Dunant Hospital Center, Athens, Greece.
Kostas TepelenisDepartment of Surgery, University Hospital of Ioannina, Ioannina, Greece.
Aikaterini KitsouliMedical School, University of Ioannina, Ioannina, Greece.
Alexandra BarboutiDepartment of Anatomy-Histology-Embryology, University of Ioannina, Ioannina, Greece.
Periklis TsoumanisDepartment of Ophthalmology, University Hospital of Ioannina, Ioannina, Greece.
Panagiotis KanavarosDepartment of Anatomy-Histology-Embryology, University of Ioannina, Ioannina, Greece.
Panagiotis KitsoulisDepartment of Anatomy-Histology-Embryology, University of Ioannina, Ioannina, Greece.
University of Ioannina · GRUniversity Hospital of Ioannina · GRGeneral Hospital of Filiates · GRHenry Dunant Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Surgery of the thyroid takes place in a body part with complicated anatomy and several vital physiologic functions. Thyroidectomy is rarely associated with mortality but can be followed by significant complications, (i.e. hypoparathyroidism, hemorrhage, upper airway obstruction, laryngeal nerve injuries and thyrotoxic storm). This review aims to indicate surgical tips and techniques to sustain a low level of complications. Content: MEDLINE database (PubMed) platform was used as a search engine and the articles related to the topic were selected using the keywords combination "thyroid surgery and complications". Summary and Outlook: The most common complication of total thyroidectomy with an occurrence ranging between 0.5 and 65% is hypoparathyroidism. Damage to recurrent laryngeal nerves can be temporary or permanent, unilateral or bilateral; bilateral lesion is associated with severe episodes of breathlessness. Thus, intraoperative monitoring of nerve function is essential to prevent damage. Ιn addition, hematoma formation can lead to breathing difficulties due to airway obstruction; preventive hemostasis during surgery is essential. The surgeon must have a complete anatomical understanding of not only the normal anatomy of the central visceral compartment of the neck, but also the common variations of the laryngeal nerves and parathyroid glands in order to keep the complication rate at a very low level.

Indexed as

complicationshemorrhagehypoparathyroidismrecurrent laryngeal nervesuperior laryngeal nervethyroid surgerythyrotoxic storm

Identifiers

PMID36561510
PMCPMC9742273
OpenAlexW4304140386

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.