Table 4. The incidence of recurrent laryngeal nerve palsy and of hypoparathyroidism (transient and permanent) after different operations for benign, euthyroid nodular goiter.
| Study | Thyroidectomy | Dunhillprocedure | Bilat. subtotalresection |
|---|---|---|---|
|
Barczynski 2010 (600 pts.) Rec. laryngeal n. palsy (ns) –transient –permanent Hypoparathyroidism –transient –permanent |
200 pts. 5.5% 1% 11% 0.5% |
200 pts. 4% 0.8% 4% 0% |
200 pts. 2% 0.5% 2% 0% |
|
Thomusch 2003 (5195 pts.) Rec. laryngeal n. palsy (ns) –transient –permanent Hypoparathyroidism –transient –permanent |
88 pts. 4.5% 2.3% 21.6% 10.5% |
527 pts. 2% 1.4% 8.7% 2.1% |
4580 pts. 1.7% 0.8% 6.3% 0.9% |
Findings of the single prospective, randomized trial published to date by a specialized center (Barczynski [13]) and the single German cross-sectional study to date (Thomusch [23] with data on complication rates of each of the three common types of resective surgery
bilat., bilateral; ns, not significant; rec. laryngeal n., recurrent laryngeal nerve