Table 5 Complications after thyroid surgery over years 1996–2020.

From: Changes in thyroid surgery over last 25 years

Complications

I (1996–2003)

II (2011–2015, 2018–2020)

Statistic

Total number, n

%

Total number, n

%

chi2, df = 1

p level

Thyroid operation

2707

100%

1041

100%

  

Primary

2575

962

  

Secondary

132

79

  

Bleeding

25

0.92%

9

0.86%

0.03

p = 0.8646

Primary operation

25

0.97%

8

0.83%

0.15

p = 0.7014

Secondary operation

0

0%

1

1.27%

1.68

p = 0.1951

Hypoparathyroidism/clinical

131

4.84%

93

8.93%

22.43

p < 0.00001

Primary operation

120

4.66%

81

8.42%

18.47

p < 0.00001

Secondary operation

11

8.33%

12

15.19%

2.39

p = 0.1219

Hypoparathyroidism/biochemical

0

0

133

12.78%

358.58

p < 0.00001

Primary operation

0

0

110

11.43%

303.89

p < 0.00001

Secondar operationy

0

0

23

29.11%

43.13

p < 0.00001

Unilateral vocal fold paresis

Total

224

8.27%

68

6.53%

3.18

p = 0.0746

Primary operation

204

7.92%

60

6.24%

2.88

p = 0.0897

Secondary operation

20

15.15%

8

10.13%

1.08

p = 0.2978

Transient:

21

0.78%

22

2.11%

11.86

p = 0.0006

Primary operation

16

0.62%

20

2.08%

14.77

p = 0.0001

Secondary operation

5

3.79%

2

2.53%

0.24

p = 0.6219

Permanent

203

7.5%

46

4.42%

11.5

p = 0.0007

Primary operation

188

7.3%

40

4.16%

11.47

p = 0.0007

Secondary operation

15

11.36%

6

7.59%

0.78

p = 0.3762

Bilateral vocal

Fold paresis

Total

28

1.03%

7

0.67%

1.06

p = 0.3022

Primary operation

23

0.89%

5

0.52%

1.24

p = 0.2648

Secondary operation

5

3.79%

2

2.53%

0.24

p = 0.6219

Transient

1

0.04%

3

0.29%

4.45

p = 0.0349

Primary operation

0

0%

1

0.10%

2.68

p = 0.1018

Secondary operation

1

0.76%

2

2.53%

1.11

p = 0.2921

Permanent

27

1.0%

4

0.38%

3.45

p = 0.0634

Primary operation

23

0.89%

4

0.42%

2.11

p = 0.1466

Secondary operation

4

3.03%

0

0%

2.44

p = 0.1183

RLN at risk, n (100%)

5414

5150

264

100%

1871

1736

135

100%

 

RLN injury

Total

280

5.17%

82

4.38%

1.81

p = 0.1785

Primary operation

250

4.85%

72

4.15%

1.46

p = 0.2277

Secondary operation

30

11.36%

10

7.41%

1.55

p = 0.2132

Transient

22

0.41%

25

1.34%

18.75

p < 0.00001

Primary operation

16

0.32%

23

1.32%

23.71

p < 0.00001

Secondary operation

6

2.27%

2

1.48%

0.28

p = 0.5937

Permanent

258

4.77%

57

3.05%

9.93

p = 0.0016

Primary operation

234

4.54%

49

2.82%

9.76

p = 0.0018

Secondary operation

24

9.09%

8

5.93%

1.21

p = 0.2708