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Journal of Zhejiang University SCIENCE B 2008 Vol.9 No.6 P.482-488


Total thyroidectomy is safer with identification of recurrent laryngeal nerve

Author(s):  Hakan CANBAZ, Musa DIRLIK, Tahsin COLAK, Koray OCAL, Tamer AKCA, Oner BILGIN, Bahar TASDELEN, Suha AYDIN

Affiliation(s):  Department of General Surgery, Faculty of Medicine, Mersin University, 33079 Mersin, Turkey; more

Corresponding email(s):   canbazhakan@yahoo.com

Key Words:  Total thyroidectomy, Lobectomy, Recurrent laryngeal nerve (RLN) identification, Complication

Hakan CANBAZ, Musa DIRLIK, Tahsin COLAK, Koray OCAL, Tamer AKCA, Oner BILGIN, Bahar TASDELEN, Suha AYDIN. Total thyroidectomy is safer with identification of recurrent laryngeal nerve[J]. Journal of Zhejiang University Science B, 2008, 9(6): 482-488.

@article{title="Total thyroidectomy is safer with identification of recurrent laryngeal nerve",
author="Hakan CANBAZ, Musa DIRLIK, Tahsin COLAK, Koray OCAL, Tamer AKCA, Oner BILGIN, Bahar TASDELEN, Suha AYDIN",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Total thyroidectomy is safer with identification of recurrent laryngeal nerve
%A Tahsin COLAK
%A Koray OCAL
%A Tamer AKCA
%J Journal of Zhejiang University SCIENCE B
%V 9
%N 6
%P 482-488
%@ 1673-1581
%D 2008
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820033

T1 - Total thyroidectomy is safer with identification of recurrent laryngeal nerve
A1 - Hakan CANBAZ
A1 - Musa DIRLIK
A1 - Tahsin COLAK
A1 - Koray OCAL
A1 - Tamer AKCA
A1 - Oner BILGIN
A1 - Suha AYDIN
J0 - Journal of Zhejiang University Science B
VL - 9
IS - 6
SP - 482
EP - 488
%@ 1673-1581
Y1 - 2008
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820033

Objective: To investigate the effect of recurrent laryngeal nerve (RLN) identification on the complications after total thyroidectomy and lobectomy. Methods: Total 134 consecutive patients undergoing total thyroidectomy or thyroid lobectomy from January 2003 to November 2004 were investigated retrospectively. Patients were divided into two groups: RLN identified (Group A) or not (Group B). The two groups were compared for RLN injury and hypocalcaemia. Results: The numbers of patients and nerves at risk were 71 and 129 in Group A, and 63 and 121 in Group B, respectively. RLN injury in Group A (0) was significantly lower than that in Group B (5 [7.9%]) patients, 7 [5.8%] nerves) for the numbers of patients (P=0.016) and nerves at risk (P=0.006). Temporary hypocalcaemia was significantly higher in Group A than in Group B (14 [24.1%] vs 6 [10.3%], P=0.049). Permanent complications in Group B were significantly higher than those in Group A (13 [20.6%] vs 4 [5.6%], P=0.009). Conclusion: RLN injury was prevented and permanent complications were decreased by identifying the whole course and branches of the recurrent laryngeal nerve during total thyroidectomy.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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