Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study

Abstract The choice between total thyroidectomy (TT) and subtotal thyroidectomy (STT) can affect postoperative complications and long-term outcomes in these patients. This study aimed to investigate postoperative complications and long-term outcomes in patients who underwent TT and STT. This retrosp...

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Main Authors: Sobhan Javidi, Sepehr Sadrizadeh, Ali Sadrizadeh, Shokoufeh Bonakdaran, Lida Jarahi
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-79860-8
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author Sobhan Javidi
Sepehr Sadrizadeh
Ali Sadrizadeh
Shokoufeh Bonakdaran
Lida Jarahi
author_facet Sobhan Javidi
Sepehr Sadrizadeh
Ali Sadrizadeh
Shokoufeh Bonakdaran
Lida Jarahi
author_sort Sobhan Javidi
collection DOAJ
description Abstract The choice between total thyroidectomy (TT) and subtotal thyroidectomy (STT) can affect postoperative complications and long-term outcomes in these patients. This study aimed to investigate postoperative complications and long-term outcomes in patients who underwent TT and STT. This retrospective study investigated 1.022 patients who admitted to Ghaem and Razavi hospitals, Mashhad, and underwent thyroidectomy between 2011 and 2017. Data related to postoperative complications, recurrence rate and overall survival were collected and analyzed. The data collection tool used in this research was a checklist. In this study, women accounted for 863 and men for 159 of the total population. The highest number of thyroidectomy surgeries was found in 2013 and in all years the majority of thyroidectomy surgeries were performed on women. The results demonstrated that 71.2% of the patients underwent TT and 28.8% underwent STT. The percentage rate of recurrent laryngeal nerve injury after thyroidectomy surgery (regardless of the type of selected surgery) was 6.1%, affecting 62 individuals. No significant relationship was observed between the type of selected surgery and damage to this nerve (P > 0.05). In addition, a statistically significant correlation was reported between thyroidectomy and suffering from hypocalcemia (P < 0.05). The study revealed that TT was associated with a higher postoperative complication rate compared to STT. Individual treatment plans must be developed based on the risks and benefits of each surgical approach.
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spelling doaj-art-1334dde2a3944428b92670baa505e77a2025-02-02T12:19:31ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-79860-8Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective studySobhan Javidi0Sepehr Sadrizadeh1Ali Sadrizadeh2Shokoufeh Bonakdaran3Lida Jarahi4Department of Medicine, Faculty of Medicine, Mashhad University of Medical SciencesCardiothoracic Surgery and Transplant Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical SciencesCardiothoracic Surgery and Transplant Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical SciencesMetabolic Syndrome Research Center, Mashhad University of Medical SciencesCardiothoracic Surgery and Transplant Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical SciencesAbstract The choice between total thyroidectomy (TT) and subtotal thyroidectomy (STT) can affect postoperative complications and long-term outcomes in these patients. This study aimed to investigate postoperative complications and long-term outcomes in patients who underwent TT and STT. This retrospective study investigated 1.022 patients who admitted to Ghaem and Razavi hospitals, Mashhad, and underwent thyroidectomy between 2011 and 2017. Data related to postoperative complications, recurrence rate and overall survival were collected and analyzed. The data collection tool used in this research was a checklist. In this study, women accounted for 863 and men for 159 of the total population. The highest number of thyroidectomy surgeries was found in 2013 and in all years the majority of thyroidectomy surgeries were performed on women. The results demonstrated that 71.2% of the patients underwent TT and 28.8% underwent STT. The percentage rate of recurrent laryngeal nerve injury after thyroidectomy surgery (regardless of the type of selected surgery) was 6.1%, affecting 62 individuals. No significant relationship was observed between the type of selected surgery and damage to this nerve (P > 0.05). In addition, a statistically significant correlation was reported between thyroidectomy and suffering from hypocalcemia (P < 0.05). The study revealed that TT was associated with a higher postoperative complication rate compared to STT. Individual treatment plans must be developed based on the risks and benefits of each surgical approach.https://doi.org/10.1038/s41598-024-79860-8Total thyroidectomy (TT)Subtotal thyroidectomy (STT)Postoperative complicationsLong-term outcomesLaryngeal nerve injuryHypocalcemia
spellingShingle Sobhan Javidi
Sepehr Sadrizadeh
Ali Sadrizadeh
Shokoufeh Bonakdaran
Lida Jarahi
Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study
Scientific Reports
Total thyroidectomy (TT)
Subtotal thyroidectomy (STT)
Postoperative complications
Long-term outcomes
Laryngeal nerve injury
Hypocalcemia
title Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study
title_full Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study
title_fullStr Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study
title_full_unstemmed Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study
title_short Postoperative complications and long-term outcomes after total and subtotal thyroidectomy: a retrospective study
title_sort postoperative complications and long term outcomes after total and subtotal thyroidectomy a retrospective study
topic Total thyroidectomy (TT)
Subtotal thyroidectomy (STT)
Postoperative complications
Long-term outcomes
Laryngeal nerve injury
Hypocalcemia
url https://doi.org/10.1038/s41598-024-79860-8
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