Complications in Thyroid and Parathyroid Surgery

  • Andrea Frilling
  • Frank Weber
  • Oskar Kornasiewitcz


Mortality from thyroid and parathyroid surgery is virtually disregarded nowadays. During the eighteenth century, however, the mortality rate of thyroid surgery was as high as 40% from bleeding and sepsis. As a consequence, in 1850, the French Academy of Medicine recommended its routine use be abandoned, and many leading surgeons would not perform it. The greatest advance in thyroid surgery is to be credited to Theodor Kocher who first recognized the importance of antiseptic and aseptic handling, hemostasis, and precise operative technique. Within a decade, his overall operative mortality decreased from 15% to 2.4%. With the exclusion of complicated cases, in 1898, he reported a mortality rate of only 0.18%. Following Kocher’s principles, William Halsted, Charles Mayo, George Crile, and others contributed further to the development of thyroid surgery.


Vocal Cord Parathyroid Gland Recurrent Laryngeal Nerve Laryngeal Nerve Thyroid Surgery 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Andrea Frilling
    • 1
  • Frank Weber
    • 1
  • Oskar Kornasiewitcz
    • 2
  1. 1.Department of Surgery and CancerImperial College LondonLondonUK
  2. 2.Department of General Transplantation and Liver SurgeryWarsaw Medical UniversityWarsawPoland

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