Recurrent Laryngeal Nerve Injury After Thyroid Surgery: An Analysis of 11,370 Patients
Recurrent Laryngeal Nerve Injury After Thyroid Surgery: An Analysis of 11,370 Patients
复制标题
DOI：
10.1016/j.jss.2020.05.017
复制
发表时间：
2020-11-01
影响因子：
2.2
通讯作者：
Scheri, Randall
中科院分区：
文献类型：
--
作者：
Gunn, Alexander;Oyekunle, Taofik;Scheri, Randall
背景：喉返神经（RLN）损伤是甲状腺手术的一个众所周知的潜在严重并发症。我们调查了甲状腺手术中喉返神经损伤的相关因素，使用多机构dataset.Materials和方法：接受肺叶切除术或甲状腺全切除术的患者从美国外科医师学会国家外科质量改进计划甲状腺切除术特定数据库（2016-2017）中提取。与喉返神经损伤相关的基线和手术因素= 65岁[比值比（OR）1.6，95%置信区间（CI）1.3-2.0]，甲状腺全切除术（OR = 1.4，95%CI 1.1-1.6），诊断为甲状腺恶性肿瘤（OR = 2.1，95%CI = 1.6-2.7）（均P < 0.001），但未进行术中喉返神经监测（OR = 0.9，95%CI = 0.7-1.0，P = 0.06）。
Background: Recurrent laryngeal nerve (RLN) injury is a well-known, potentially serious complication of thyroid surgery. We investigated factors associated with RLN injury during thyroid surgery using a multi-institutional data set.Materials and methods: Patients who underwent either lobectomy or total thyroidectomy were abstracted from the American College of Surgeons National Surgical Quality Improvement Program thyroidectomy-specific database (2016-2017). Baseline and operative factors associated with RLN injury = 65 y [odds ratio (OR) 1.6,95% confidence interval (CI) 1.3-2.0], total thyroidectomy (OR = 1.4,95% CI 1.1-1.6), and diagnosis of thyroid malignancy (OR = 2.1, 95% CI = 1.6-2.7) (all P < 0.001) but not intraoperative RLN monitoring (OR = 0.9, 95% CI = 0.7-1.0, P = 0.06).Conclusions: In this large multi-institutional study, RLN injury