Reoperative Thyroid Surgery

作者: Tzu-Chieh Chao , Long-Bin Jeng , Jen-Der Lin , Miin-Fu Chen

DOI: 10.1007/S002689900287

关键词:

摘要: Reoperative thyroid surgery is an uncommon operation associated with a high complication rate. We retrospectively reviewed the data of 115 patients to study incidence complications after reoperative surgery. There were 107 women and 8 men (13.4:1.0) average age 42.8 years (range 18–80 years). The most frequent indication for reoperation was completion thyroidectomy carcinoma identified by permanent sections (50 patients, 43.5%). performed on 13 (11.3%) recurrent cancer. remaining 52 underwent thyrotoxicosis (12 10.4%), nodular goiter (28 24.3%) or multinodular 10.4%). Seven one patient total presence malignancies that frozen sections. Overall, interval between initial procedures ranged from 1 day 33 (2335 ± 272 days). length hospital stay 5.8 0.5 days. time needed 122.0 6.2 minutes. no 30-day perioperative mortality. postoperative consisted transient hypoparathyroidism in six (5.2%), two (1.7%), RLN palsy 3 (2.6%), laryngeal nerve (1.7%). can be safely little morbidity patient.

参考文章(20)
M. Demeure, O. H. Clark, Q. Y. Duh, A. H. Clark, Allan Siperstein, K. E. Levin, Reoperative thyroid surgery. Surgery. ,vol. 111, pp. 604- 609 ,(1992)
S. D. Wilson, F. O. Belzer, R. J. Baker, B. F. Rush, De Jong, N. J. Gurll, S. A. De Jong, J. M. Shuck, H. B. Haley, A. M. Lawrence, E. Paloyan, J. G. Demeter, Necessity and safety of completion thyroidectomy for differentiated thyroid carcinoma. Surgery. ,vol. 112, pp. 734- 739 ,(1992)
Louis-Joseph Auguste, Joseph N. Attie, Completion thyroidectomy for initially misdiagnosed thyroid cancer. Otolaryngologic Clinics of North America. ,vol. 23, pp. 429- 439 ,(1990) , 10.1016/S0030-6665(20)31267-6
Thompson Nw, Bondeson L, Bondeson Ag, Hyperparathyroidism after treatment with radioactive iodine: not only a coincidence? Surgery. ,vol. 106, pp. 1025- 1027 ,(1989)
Tom S. Reeve, Leigh Delbridge, Peter Brady, Patsy Crummer, Christine Smyth, Secondary thyroidectomy: A twenty-year experience World Journal of Surgery. ,vol. 12, pp. 449- 452 ,(1988) , 10.1007/BF01655417
Ricardo L. Rossi, Blake Cady, Mark L. Silverman, Marvin S. Wool, Tia A. Horner, Current results of conservative surgery for differentiated thyroid carcinoma. World Journal of Surgery. ,vol. 10, pp. 612- 622 ,(1986) , 10.1007/BF01655538
P. Harsoulis, Maria Leontsinit, A. Economout, T. Gerasimidis, C. Smbarounis, Fine needle aspiration biopsy cytology in the diagnosis of thyroid cancer: comparative study of 213 operated patients British Journal of Surgery. ,vol. 73, pp. 461- 464 ,(2005) , 10.1002/BJS.1800730615
Janice L. Pasieka, Norman W. Thompson, Michael K. McLeod, Richard E. Burney, Mahender Macha, The incidence of bilateral well-differentiated thyroid cancer found at completion thyroidectomy World Journal of Surgery. ,vol. 16, pp. 711- 716 ,(1992) , 10.1007/BF02067365
Ashok Shaha, Lyon Gleich, Terry Dl Maio, Bernard M. Jaffe, Accuracy and pitfalls of frozen section during thyroid surgery Journal of Surgical Oncology. ,vol. 44, pp. 84- 92 ,(1990) , 10.1002/JSO.2930440205
J.F. Hamming, C.J.H. van de Velde, B.M. Goslings, L.J.D.M. Schelfhout, G.J. Fleuren, J. Hermans, A. Zwaveling, Prognosis and morbidity after total thyroidectomy for papillary, follicular and medullary thyroid cancer. European Journal of Cancer and Clinical Oncology. ,vol. 25, pp. 1317- 1323 ,(1989) , 10.1016/0277-5379(89)90079-5