Endocrine Surgery: Management of Postoperative Complications Following Endocrine Surgery of the Neck.

Oliver J Fackelmayer, James X Wu, Michael W Yeh

Journal: The Surgical clinics of North America 2021;101(5):767-784

PMID: 34537142

Full Text on Elsevier Science View on PubMed

Abstract

Cervical endocrine operations include parathyroidectomy, thyroid lobectomy, thyroidectomy, central neck dissection, and lateral neck dissection. The vital structures at risk include the recurrent laryngeal nerves to the intrinsic muscles of the larynx, additional cranial nerves, parathyroid glands essential for calcium homeostasis, aerodigestive structures, and great vessels. Here, the authors discuss complications of endocrine neck surgery, including cervical hematoma and other fluid collections, hypocalcemia from hypoparathyroidism, and nerve injuries, along with their prevention, mitigation, and management. Significant and permanent morbidity can result, but fortunately the overall rate of complications remains low, especially when surgery is performed by high-volume surgeons.

Address: Section of Endocrine Surgery, UCLA David Geffen School of Medicine, UCLA Endocrine Center, 100 Medical Plaza Driveway, Suite 310, Los Angeles, CA 90095, USA.; Section of Endocrine Surgery, UCLA David Geffen School of Medicine, UCLA Endocrine Center, 100 Medical Plaza Driveway, Suite 310, Los Angeles, CA 90095, USA. Electronic address: [email protected].

DOI: 10.1016/j.suc.2021.05.019

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MeSH Terms: Endocrine Surgical Procedures, Humans, Neck Dissection, Parathyroidectomy, Postoperative Complications, Thyroidectomy