It Sometimes Happens: Staging Surgery in Coexisting Graves' Disease and Thyroid Cancer
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Thyroidectomy is a safe procedure often performed either for benign or malignant thyroid diseases. Complication rate is low and bilateral recurrent laryngeal nerve (RLN) injury associated with thyroidectomy is rarely described. The RLN may be injured bilaterally and damage is usually recognized postoperatively. With an increased use of intraoperative neural monitoring (IONM), an adaptation of the resection strategy appears to be necessary in case of an intraoperative loss of signal of the first operated side with total thyroidectomy planned. We review a case of a 21-year-old female with a history of Graves' disease who underwent a total thyroidectomy in a 2-stage procedure due to a loss of RLN function detected intraoperatively. The patient recovered uneventfully from the 2 surgeries.
Abstract
Thyroidectomy is a safe procedure often performed either for benign or malignant thyroid diseases. Complication rate is low and bilateral recurrent laryngeal nerve (RLN) injury associated with thyroidectomy is rarely described. The RLN may be injured bilaterally and damage is usually recognized postoperatively. With an increased use of intraoperative neural monitoring (IONM), an adaptation of the resection strategy appears to be necessary in case of an intraoperative loss of signal of the first operated side with total thyroidectomy planned. We review a case of a 21-year-old female with a history of Graves' disease who underwent a total thyroidectomy in a 2-stage procedure due to a loss of RLN function detected intraoperatively. The patient recovered uneventfully from the 2 surgeries.
참고문헌 (19)
- Schneider R, "International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal", Laryngoscope, 128(Suppl 3), pp.S1~S17 (2018)
- Schneider R, "Surgical strategy during intended total thyroidectomy after loss of EMG signal on the first side of resection", Chirurg, 86, pp.154~163 (2015)
- Dralle H, "Vocal cord paralysis after thyroid surgery : current medicolegal aspects of intraoperative neuromonitoring", Chirurg, 86, pp.698~706 (2015)
- Pemberton JD, "Exophthalmic goiter : indications for the stage-operation", Arch Surg, 18, pp.735~744 (1929)[DOI]
- Randolph GW, "Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement", Laryngoscope, 121(Suppl 1), pp.S1~S16 (2011)
- Dralle H, "Loss of the nerve monitoring signal during bilateral thyroid surgery", Br J Surg, 99, pp.1089~1095 (2012)
- Sadowski SM, "Systematic use of recurrent laryngeal nerve neuromonitoring changes the operative strategy in planned bilateral thyroidectomy", Thyroid, 23, pp.329~333 (2013)
- Sun H, "New paradigms for neural monitoring in thyroid surgery", Surg Technol Int, 34, pp.79~86 (2019)
- Dionigi G, "Staged thyroidectomy : time to consider intraoperative neuromonitoring as standard of care", Thyroid, 23, pp.906~908 (2013)
- Dralle H, "Loss of the nerve monitoring signal during bilateral thyroid surgery", Br J Surg, 99, pp.1089~1095 (2012)
- Zhou L, "How does neural monitoring help during thyroid surgery for Graves' disease?", J Clin Transl Endocrinol, 15, pp.6~11 (2018)
- Schneider R, "Surgical strategy during intended total thyroidectomy after loss of EMG signal on the first side of resection", Chirurg, 86, pp.154~163 (2015)
- Melin M, "IONM-guided goiter surgery leading to two-stage thyroidectomy--indication and results", Langenbecks Arch Surg, 398, pp.411~418 (2013)
- 김훈엽, "Loss of the Neuromonitoring Signal on the First Side in Planned Total Thyroidectomy", Journal of Endocrine Surgery, 17(3), pp.89~95 (2017), 대한내분비외과학회[DOI]
- American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, "Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer", Thyroid, 19, pp.1167~1214 (2009)
- Tufano RP, "Incidental thyroid nodules and thyroid cancer : considerations before determining management", JAMA Otolaryngol Head Neck Surg, 141, pp.566~572 (2015)
- Bainbridge D, "Perioperative and anaesthetic-related mortality in developed and developing countries : a systematic review and meta-analysis", Lancet, 380, pp.1075~1081 (2012)
- Erdem E, "Comparison of completion thyroidectomy and primary surgery for differentiated thyroid carcinoma", Eur J Surg Oncol, 29, pp.747~749 (2003)
- Dionigi G, "Postoperative laryngoscopy in thyroid surgery : proper timing to detect recurrent laryngeal nerve injury", Langenbecks Arch Surg, 395, pp.327~331 (2010)