Prevention, evaluation, and management of complications following thyroidectomy for thyroid carcinoma

The rate of complications during thyroid surgery has decreased because of better instrumentation, illumination, and surgical expertise. Despite these improvements, certain patients, including those requiring reoperation, those with invasive cancers or with numerous nodal metastasis or recurrent tumors, and those with large substernal goiters have a low but appreciable risk for complications. When planning a thyroid operation, one should perform the operation that corrects these problems and decrease the risk for complications. Localization of at least one parathyroid gland is essential.