Abstract：
:Thyroidectomy is one of the most frequently performed surgical procedure worldwide, even if the risks of lethal postoperative complications prevented its evolution and diffusion until the beginning of the XX century. At that time, T. Kocher described his meticulous technique, reporting excellent results in terms of mortality and morbidity. At present, mortality for this procedure approaches 0% and overall complication rate is less than 3%. Nonetheless, major complications of thyroidectomy (i.e. compressive hematoma, recurrent laryngeal nerve palsy and hypoparathyroidism) are still fearful complications and account for a significant percentage of medico-legal claims. Patients volume and surgical skill play an important role in reducing the risk of complications. Accurate knowledge of anatomy and pathophysiology, complications incidence and pathogenesis and a careful surgical performance are essential. In this review, post-thyroidectomy complications basing on literature analysis and personal experience are described. The main anatomical, technical and pathophysiological factors that help preventing post-thyroidectomy complications are analyzed, taking into proper account new technologies and the minimally invasive surgical procedures that influenced thyroid surgery during the last decade.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Lombardi CP,Raffaelli M,De Crea C,Traini E,Oragano L,Sollazzi L,Bellantone Rsubject
Has Abstractpub_date
2007-10-01 00:00:00pages
395-408issue
5eissn
0026-4733issn
1827-1626journal_volume
62pub_type
杂志文章,评审abstract：:A case of entero-vesical fistula in Crohn's disease is presented. Clinical manifestations, diagnostic means and surgical treatment of the lesion are discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：:Even today, traumatic lesions of the popliteal artery mean in a large percentage of cases (from 25% to 45% according to recent reports) loss of the extremity, notwithstanding the considerable advances made by reconstructive vascular surgery. The most important series are reported in relation to events of war in the pa...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-30 00:00:00
abstract：:The role of aminophylline in the re-formation of peritoneal adhesions was considered in 23 rats. Since the adhesions were obtained, the animals were subsequently divided into three groups, the first one containing seven units, the others containing eight animals each. During the four days prior the surgery, allopurino...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-15 00:00:00
abstract：:Esophago-jejunal reconstruction, after total gastrectomy, is best performed by one of the following three operations: interposed jejunal loop, Roux-en-Y loop and "omega" loop with Braun anastomosis. To assess the effects of the three mentioned techniques three groups of 15 patients each were examined after total gastr...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-09-15 00:00:00
abstract：AIMS AND BACKGROUND:Helicobacter pylori is known to be the pathogenic agent of atrophic gastritis and above all ulcer disease. It is also thought to play a role, together with other factors, in the development of stomach cancer and is currently the focus of numerous studies. In industrialised countries, infection is re...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-06-01 00:00:00
abstract：AIM:Biliodigestive anastomoses are widely used in the treatment of biliary obstruction. METHODS:A survey is presented of the personal case series treated during the last 5 years. Thirty biliodigestive anastomose have been performed both for neoplastic disease and for benign lesions. RESULTS:The biliodigestive anastom...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-02-01 00:00:00
abstract：BACKGROUND:Laparoscopic surgery is used with increasing frequency to treat colorectal pathologies and some groups have also attempted to treat the complicated forms of diverticulitis (abscesses and/or fistulas). The results reported in the international literature are still controversial, especially in terms of the dur...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：:Askin's tumour is a rare malignant small cell neoplasia of the thoracic wall; it most often effects females during childhood and is characterised by limited survival. The authors report a recent case of Askin's tumour in a young adult male. The case was characterised by multiple recidivation but a long survival. The a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:This study analysed 90 cases of symptomatic cholelithiasis treated with laparoscopic cholecystectomy. 27% of the cases studied suffered from microlithiasis, 44% from multiple calculosis with calculi measuring 1 to 2 cm in diameter, 25% from single calculi measuring up to 4 cm in diameter, and 4% from a benign prolifer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-10-15 00:00:00
abstract：:Mucinous cystadenocarcinoma of the cecal appendix is a very rare malignant neoplasia. The majority of these tumours are discovered during surgery performed for other pathologies or as a chance finding in the histological analysis of surgically removed inflamed appendix. There is no characteristic symptomatology of thi...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:Stomitis due to non absorbable sutures is an increasingly common endoscopic finding. Personal experience has shown that this complication is not encountered when catgut sutures are employed in stomach operations. It is therefore recommmended that this or other absorbable material be used in gastric surgery. Stress is ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-10-15 00:00:00
abstract：:A small contribution is made to the work of widening the knowledge of the main principles followed in the emergency management of injuries to the face and jaws. The topic is rendered easily comprehensible by the nonspecialist through the use of many pictures. A short compendium of emergency therapies and personal expe...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-10-15 00:00:00
abstract：:The authors report a case of popliteal artery adventitial cystic disease. They discuss diagnosis and treatment. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：AIM:Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postop...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:Surgeon's position during open cholecystectomy operation has been standardized since more than 100 years, being traditionally fixed at the right side of the patient. Only a few French authors adopted the "left location" just for the time requested for the common bile duct exploration. METHODS:In this paper ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:The authors report their personal experience of the "excision and primary suture" operating technique in the surgical treatment of pilonidal sinus. A rapid recovery by postoperative day 10 was achieved in 58 out of 60 cases treated (96.7%). Dehiscence of the surgical wound was observed in 2 cases (3.3%) following isch...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：:A series of 234 patients who underwent Billroth I gastric resection for gastric and duodenal ulcerous lesions is reported. Special attention is paid to the immediate postoperative complications whose incidence was 5.5%. Particularly serious is the dehiscence of gastroduodenal anastomosis which requires emergency recon...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-02-15 00:00:00
abstract：:Personal experience in the aggression of the CNS for various purposes is considered. It is thought that the internal trans-jugular route is the easiest approach and procedures the fewest complications with appropriate techniques. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-31 00:00:00
abstract：:The aim of this work is to assess the list of fine needle aspiration in the diagnosis of lesions of the parotid. Thirty-nine patients suffering from parotid pathology were subjected to cytology examination through fine needle aspiration. Thirty seven patients subjected to surgical operation have a histological compari...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1993-10-31 00:00:00
abstract：AIM:Severe obesity is a major health problem affecting more than 1,000,000 people in Italy, with a 95% failure rate of nonsurgical treatments. We report our over five-years experience with laparoscopic Roux-en-Y gastric bypass (LRYGBP), evaluating the postoperative course of the patients undergoing 3 different gastro-e...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：AIM:Electromagnetic navigation bronchoscopy (ENB) was reported to increase diagnostic yield in pulmonary nodules (PNs). The aim of this study was to assess if rapid on site evaluation (ROSE) associated with ENB could improve diagnostic accuracy in PNs after non-diagnostic fluoroscopy-guided bronchoscopy added to ROSE. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2013-12-01 00:00:00
abstract：:Reference is made to personal experience (421 lumbar sympathectomies in 1640 vascular operations carried out over the last ten years) and the results of an enquiry addressed to more than 200 Italian surgeons are cited for the proposition that the indications for this operation are still the subject of disagreement, wh...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1981-09-30 00:00:00
abstract：:Peritoneal carcinomatosis has always been regarded to have a poor prognosis. Surgery is usually limited to palliation of bowel obstruction by performing an intestinal bypass or ostomy. This severe disease has been considered as equal to distant metastasis and intravenous (i.v.) chemotherapy is commonly used in order t...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:The aim of this article is to describe the technique used in the treatment of ventral hernia using the laparoscopic method and at the same time to evaluate the possible advantages of this surgical approach. METHODS:The clinical case we present regards a case of a patient who had undergone a double eventratio...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：AIM:This prospective study was done to evaluate the efficacy of commercial fibrin glue application in the healing of patients with fistulas-in-ano from a short follow up period (one year). METHODS:This randomized clinical trial of 26 patients was performed during the period from January 2012 to July 2012. Nineteen men...
journal_title：Minerva chirurgica
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2014-08-01 00:00:00
abstract：:The authors present a case of neonatal intestinal duplication. Etiopathogenic view and the diagnostic and therapeutic problems are discussed. Echotomographic examination can provide useful diagnostic input, as in this case, even at a prenatal stage. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-06-15 00:00:00
abstract：:Palliative care represents a new field among clinical approaches to patients with advanced or terminal cancer. The modern concept of palliative care can be considered in several ways: 1) the relationship between palliative care and primary treatments of cancer (surgery, radiotherapy or chemotherapy); 2) the treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2005-08-01 00:00:00
abstract：:The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
abstract：:The paper describes a recent case of carcinoid of the appendix in a 15 year old patient, operated for appendicitis. The diagnosis was found incidentally by histologic examination. Following a review of the literature the Authors discuss the epidemiology and clinical aspects of the appendiceal carcinoid, the most commo...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-05-15 00:00:00
abstract：:We report on a case of early portal vein thrombosis occurring after liver transplantation in a patient with alcoholic cirrhosis. Although this complication is usually accompanied by acute graft failure and/or gastroesophageal bleeding, in this patient the portal thrombosis occurred with the appearance of general drops...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-04-30 00:00:00
