Postoperative complications of thyroidectomy for differentiated thyroid carcinoma
作者： João Gonçalves Filho , Luiz Paulo Kowalski
DOI: 10.1016/J.AMJOTO.2004.02.001
关键词: Paratracheal lymph nodes 、 Medicine 、 Thyroidectomy 、 Surgery 、 Dissection 、 Thyroid carcinoma 、 Thyroid 、 Carcinoma 、 Neck dissection 、 General surgery 、 Complication 、 Otorhinolaryngology
摘要: Abstract Objective This study evaluates the incidence and risk factors of complications in patients submitted to thyroidectomy for differentiated thyroid carcinoma a cancer hospital with residency training. Study design A retrospective chart review 316 consecutive who underwent carcinoma. Results Of patients, main postoperative were transient hypocalcemia 87 (27.5%), permanent 16 (5.1%), vocal cord palsy 4 (1.2%), 2 (0.6%). Neck dissection paratracheal lymph node when associated total significantly related transitory hypocalcemia. Conclusion Thyroid surgery can be performed safely medical training program under direct supervision an experienced surgeon acceptable morbidity. Hypocalcemia is most significant complication. dissections predictors thyroidectomy.
elsevier.com
sci-hub.se 参考文章(34)
Shaha A, Jaffe Bm, Complications of thyroid surgery performed by residents. Surgery. ,vol. 104, pp. 1109- ,(1988)
Shaha Ar, Jaffe Bm, Completion thyroidectomy: a critical appraisal. Surgery. ,vol. 112, pp. 1148- 1153 ,(1992)
William M. McConahey, John R. Goellner, Donald Zimmerman, Clive S. Grant, Ian D. Hay, John J. Ryan, Ian R. Gough, Papillary thyroid carcinoma in children and adults: long-term follow-up of 1039 patients conservatively treated at one institution during three decades. Surgery. ,vol. 104, pp. 1157- 1166 ,(1988)
William C. Pederson, Christa L. Johnson, Harold V. Gaskill, J.Bradley Aust, Anatolio B. Cruz, Operative management of thyroid disease: technical considerations in a residency training program American Journal of Surgery. ,vol. 148, pp. 350- 352 ,(1984) , 10.1016/0002-9610(84)90469-0
Donald J. Wingert, Stanley R. Friesen, John I. Iliopoulos, George E. Pierce, James H. Thomas, Arlo S. Hermreck, Post-thyroidectomy hypocalcemia: Incidence and risk factors American Journal of Surgery. ,vol. 152, pp. 606- 610 ,(1986) , 10.1016/0002-9610(86)90435-6
W. Lamadé, K. Renz, F. Willeke, E. Klar, Ch. Herfarth, Effect of training on the incidence of nerve damage in thyroid surgery. British Journal of Surgery. ,vol. 86, pp. 388- 391 ,(2003) , 10.1046/J.1365-2168.1999.01017.X
Alberto Vignati, Massimo E. Dottorini, Luigia Colombo, Liliana Mazzucchelli, Giuseppe Lomuscio, Differentiated thyroid carcinoma in children and adolescents: a 37-year experience in 85 patients. The Journal of Nuclear Medicine. ,vol. 38, pp. 669- 675 ,(1997)
W. Keat Cheah, Cumhur Arici, Philip H.G. Ituarte, Allan E. Siperstein, Quan-Yang Duh, Orlo H. Clark, Complications of Neck Dissection for Thyroid Cancer World Journal of Surgery. ,vol. 26, pp. 1013- 1016 ,(2002) , 10.1007/S00268-002-6670-4
R. F. Gagel, H. Goepfert, D. L. Callender, CHANGING CONCEPTS IN THE PATHOGENESIS AND MANAGEMENT OF THYROID CARCINOMA CA: A Cancer Journal for Clinicians. ,vol. 46, pp. 261- 283 ,(1996) , 10.3322/CANJCLIN.46.5.261
L. Pezzullo, P. Delrio, N.S. Losito, C. Caracò, N. Mozzillo, Post-operative complications after completion thyroidectomy for differentiated thyroid cancer Ejso. ,vol. 23, pp. 215- 218 ,(1997) , 10.1016/S0748-7983(97)92340-4