作者: Niki Christou , Claire Blanchard , François Pattou , Christelle Volteau , Laurent Brunaud
DOI: 10.1016/J.AMJSURG.2018.07.029
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摘要: Abstract Background It is well known that total thyroidectomy feasible on elderly patients but linked to complications because of their underlying comorbidities. In this study we analyzed the specific risks surgery, hypoparathyroidism and recurrent nerve palsy. Methods materials-methods:Prospective, multicentre trial conducted at 13 hospital sites. The primary endpoint was percentage with postoperative hypocalcaemia (albumin-corrected serum calcium level Results total, 1329 who underwent were included (median age 51.17 years [18.10; 80.90], 80% women, hyperthyroidism in 20%, 101 ≥ 70 old). Rates day 2 month 6 20.02% 1.98% respectively. Nasofibroscopy showed abnormal vocal cord motility 9.92% cases (hypo-motility 5.76% - immobility 4.16%) 0.95% 0.48%, 0.48%). Patients ≥70 had a lower (but non-significant) definitive rate than patients Conclusions Total safe. Age does not increase morbidity. registered ClinicalTrials.gov number NCT01551914.