Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

갑상선의 일차 수술과 재수술에서 합병증 발생의 비교

이강대1,*, 이영수1, 정헌1, 최소희1, 하남욱1
Kang Dae Lee1,*, Young Soo Lee1, Hun Jung1, So Hee Choi1, Nam Wook Ha1
1고신대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Kosin University, Busan, Korea
*교신저자: 이강대, 602-702 부산광역시 서구 암남동 34 고신대학교 의과대학 이비인후과학교실 전화: (051) 990-6248·전송: (051) 245-8539 E-mail:

© Copyright 2003 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 18, 2003; Accepted: Dec 01, 2003

Published Online: May 31, 2020


Background and Objectives: Thyroid reoperation had been denied for fear of an increased risk of major complications such as recurrent laryngeal nerve injury, superior laryngeal nerve injury and hypoparathyroidism. The purpose of this article is to review the safety of completion thyroidectomy. Materials and Methods: We collected 33 cases of reoperative thyroid surgery and 309 cases of initial thyroid surgery, which performed at the Department of Otolaryngology, Head and Neck Surgery of Kosin Medical College Hospital from april 1998 to january 2002. And retrospective studies included extent of initial thyroidectomy and pathologic report, interval between initial surgery and reoperation, and complication rate. Results: When the unilateral lobectomy was performed for surgical management of differentiated thyroid carcinoma, reoperation rate was five times larger than when subtotal thyroidectomy was performed. Transient recurrent laryngeal nerve injury and permanent recurrent laryngeal nerve injury were occurred in 1 each case (3%), transient hypoparathyroidism was occurred in 2 cases, but permanent hypoparathyroidism was not developed. Complication rate of thyroid reoperation was not so high compared with initial thyroid surgery. Conclusion: As a development of diagnostic methods, rates of thyroid reoperation were increased. But the adequate extent of initial surgery can reduce the rate of recurrence of thyroid disease. If surgeon had sufficient anatomical knowledge and meticulous surgical technique, reoperative thyroid surgery can be performed with minimal morbidity and low rate of complications. (J Clinical Otolaryngol 2003;14:269-274)

Keywords: 재수술; 갑상선; 합병증들
Keywords: Reoperation; Thyroid gland; Complications