Endoscopic treatment of esophageal injury after thyroidectomy – a case report

2019 ◽  
Vol 91 (3) ◽  
pp. 1-5
Author(s):  
Dagmara Radziuk ◽  
Mieczysław Witzling
Keyword(s):  
Case Report ◽  
Nerve Injury ◽  
Esophageal Perforation ◽  
Endoscopic Treatment ◽  
Esophageal Injury ◽  
Recurrent Nerve ◽  
Cervical Esophageal Perforation ◽  
Recurrent Nerve Injury ◽  
Laryngeal Recurrent Nerve

The most common complications after thyroidectomy are postoperative neck hematoma, laryngeal recurrent nerve injury and hypoparathyroidism. [1] However, iatrogenic cervical esophageal perforation is a very rare repercussion of this procedure. In literature there are a few reported cases concerning that complication. We want to report a case of a patient with severe esophageal injury resulted from thyroidectomy.

scholarly journals Laryngeal Recurrent Nerve Injury in Surgery for Benign Thyroid Diseases

2002 ◽  
Vol 235 (2) ◽  
pp. 261-268 ◽  
Author(s):  
Michael Hermann ◽  
Gunter Alk ◽  
Rudolf Roka ◽  
Karl Glaser ◽  
Michael Freissmuth
Keyword(s):  
Nerve Injury ◽  
Thyroid Diseases ◽  
Recurrent Nerve ◽  
Recurrent Nerve Injury ◽  
Laryngeal Recurrent Nerve ◽  
Benign Thyroid

Safely Increasing the Efficiency of Thyroidectomy Using a New Bipolar Electrosealing Device (LigaSure™) versus Conventional Clamp-and-Tie Technique

2006 ◽  
Vol 72 (2) ◽  
pp. 132-136 ◽  
Author(s):  
Jan Franko ◽  
Karen J. Kish ◽  
Christopher M. Pezzi ◽  
Ho Pak ◽  
John S. Kukora
Keyword(s):  
Nerve Injury ◽  
Thyroid Surgery ◽  
Operative Time ◽  
Hospital Length ◽  
Conventional Group ◽  
Hospital Length Of Stay ◽  
Recurrent Nerve ◽  
Surgical Resident ◽  
Estimated Blood Loss ◽  
Recurrent Nerve Injury

Operative time in thyroid surgery can be safely reduced through use of a new bipolar electro-sealing device (LigaSure). We evaluated consecutive patients undergoing thyroid surgery from January 2003 through January 2005 (n = 155). During the first half of the study, hemostasis was obtained using silk ties (conventional group, n = 70). During the second half of the study period, hemostasis was obtained with a bipolar electrosealing device (LigaSure group, n = 85). The mean operative time was 130 ± 37 minutes in the conventional group and 110 ± 33 minutes (P < 0.001) in the LigaSure group. EBL in the LigaSure group was statistically significantly less (43 ± 53 vs 33 ± 33 mL; P < 0.05). Postoperative calcium level was statistically significantly higher in the Liga-Sure group (8.2 ± 0.5 vs 8.4 ± 0.6 mg/dL, P < 0.05). Hospital length of stay (LOS) did not differ significantly. One patient in each group developed neck hematoma requiring reoperation. One permanent recurrent nerve injury occurred in the conventional group and one transient bilateral recurrent nerve injury occurred in the LigaSure group. The occurrence of symptomatic hypocalcemia was similar between the two groups. The training level of the surgical resident had no significant impact on the operative time, estimated blood loss (EBL), LOS, or complication rate. LigaSure bipolar electrosealer as the primary means of hemostasis during thyroidectomy significantly reduces mean operative times. Rates of operative complications were unchanged. LigaSure use in thyroid surgery can safely increase efficiency.

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