أعرض في EDS

The preoperative evaluation prevent the postoperative complications of thyroidectomy

التفاصيل البيبلوغرافية
العنوان: The preoperative evaluation prevent the postoperative complications of thyroidectomy
المؤلفون: Kuo Dong Chen, Ming Lang Shih, Shih Ming Huang, Chien Feng Huang, Ji Kuen Yu, Chao Ming Shih, Chen-Hsen Lee, Tzu Ming Chang, Fong Fu Chou, Kee Ching Jeng, Yachung Jeng
المصدر: Annals of Medicine and Surgery
بيانات النشر: Elsevier, 2014.
سنة النشر: 2014
مصطلحات موضوعية: medicine.medical_specialty, Hypocalcemia, business.industry, Preoperative evaluation, medicine.medical_treatment, Thyroid, Recurrent Laryngeal Nerve Injury, Thyroidectomy, General Medicine, Safe surgery, Article, Surgery, medicine.anatomical_structure, medicine, Recurrent laryngeal nerve injury, business
الوصف: Objective Thyroid surgery is generally a safe surgery but its complications are still common. We wish to identify preoperative factors that predict postoperative complications. Methods A nationwide survey was conducted by senior surgeons from 16 medical centers and 5 regional hospitals in Taiwan to thyroid operations performed over 3 years. 3846 cases were retrospectively examined to identify factors influencing complications: indication for surgery, preoperative evaluation, such as ultrasonography, chest X-ray, computed tomography and magnetic resonance imaging, isotope scanning, fine-needle aspiration cytology (FNAC) and thyroid function test, and patient characteristics. Results Eighty-four percent of patients were female. Seven percent of the patients had immediate postoperative hypocalcemia (mild and severe) and 2.3%, hoarseness (recurrent laryngeal nerve (RLN) injury, temporary/permanent). Logistic regression analysis identified an association between hypocalcemia and RLN injury with age, hospital category, surgical procedure types (total thyroidectomy, unilateral, bilateral subtotal or total resection). A lower incidence of hypocalcemia was related to preoperative neck ultrasound and FNAC analysis (the odds ratio (OR) = 0.5 and 0.65, [95% confidence interval (CI) 0.331–0.768 and 0.459–0.911], P = 0.0014 and 0.0127, respectively), while RLN injury was not associated with any preoperative evaluation. The ORs of hypocalcemia and RLN injury for patients older than 50 years were 0.55 and 2.15, [0.393–0.763 and 1.356–3.4], P
Highlights • Thyroid surgery depends on careful preoperative planning. • Evaluation for lesions, adjuvant devices, and surgical modalities are important. • Preoperative evaluation affects the hypocalcemia. • Intraoperative monitor may reduce RLN injury.
اللغة: English
تدمد: 2049-0801
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::71604c1a5094baf3ffe3f845dd4af005
http://europepmc.org/articles/PMC4323748
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....71604c1a5094baf3ffe3f845dd4af005
قاعدة البيانات: OpenAIRE
الوصف
تدمد:20490801