Impact of timing on completion thyroidectomy for thyroid cancer
Impact of timing on completion thyroidectomy for thyroid cancer
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DOI：
10.1046/j.1365-2168.2002.02068.x
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发表时间：
2002-06-01
影响因子：
9.6
通讯作者：
Delbridge, LW
中科院分区：
文献类型：
--
作者：
Tan, MP;Agarwal, G;Delbridge, LW
背景：为了减少并发症的发生，甲状腺恶性肿瘤的完全性甲状腺切除术应在原发性手术后10天内或3个月后进行。本研究的目的是回顾时间对完成甲状腺切除术后并发症发生率的影响。方法：回顾性资料来源于1957年以来录入的内分泌外科甲状腺数据库。研究对象为最近100例因甲状腺癌而连续完成甲状腺切除术的患者。结果：63例患者在首次手术后10天或90天以上进行了第二次手术（1组）。37例患者在第一次手术后10 ~ 90天内再次手术（第二组）。1组1例患者（2%）和2组1例患者（3%）出现永久性并发症（P无统计学意义）。结论：手术时间对甲状腺切除术后并发症发生率无明显影响。
Background: It has been stated that completion thyroidectomy for thyroid malignancy should be performed either within 10 days of the primary operation or after 3 months, to reduce the incidence of complications. The aim of this study was to review the impact of timing on the rate of complications following completion thyroidectomy.Methods: Data were obtained retrospectively from the Endocrine Surgery Thyroid Data Base, to which the records of all patients have been entered since 1957. The patients who had the last 100 consecutive completion thyroidectomies for thyroid cancer comprised the study group.Results: Sixty-three patients had the second operation performed within 10 days or more than 90 days after the initial operation (group 1). Thirty-seven patients had reoperation between 10 and 90 days after the first procedure (group 2). One patient (2 per cent) in group 1 and one patient (3 per cent) in group 2 suffered a permanent complication (P not significant).Conclusions: There was no definite impact of the timing of surgery on the rate of complications after completion thyroidectomy.