Postoperative complications of thyroidectomy for differentiated thyroid carcinoma
Postoperative complications of thyroidectomy for differentiated thyroid carcinoma
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DOI：
10.1016/j.amjoto.2004.02.001
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发表时间：
2004-07-01
影响因子：
2.5
通讯作者：
Kowalski, LP
中科院分区：
文献类型：
--
作者：
Gonçalves, J;Kowalski, LP
目的：评价某肿瘤医院住院医师培训的分化型甲状腺癌患者术后并发症的发生率及危险因素。研究设计：对316例分化型甲状腺癌患者的术后并发症进行回顾分析。结果：316例患者中，术后主要并发症为一过性低钙血症87例(27.5%)，永久性低钙血症16例(5.1%)，一过性声带麻痹4例(1.2%)，永久性声带麻痹2例(0.6%)。颈淋巴清扫术和气管旁淋巴结清扫术合并甲状腺全切除术与一过性和永久性低钙血症显著相关。结论：在有住院医师培训计划的医院，在有经验且发病率可接受的外科医生的直接监督下，甲状腺手术可以安全地进行。低钙血症是最重要的并发症。在接受全甲状腺切除术的患者中，颈部和气管旁淋巴结清扫是低钙血症最显著的预测指标。(C)2004 Elsevier Inc.保留所有权利。
Objective: This study evaluates the incidence and risk factors of complications in patients submitted to thyroidectomy for differentiated thyroid carcinoma in a cancer hospital with residency training.Study Design: A retrospective chart and complications review of 316 consecutive patients who underwent thyroidectomy for differentiated thyroid carcinoma.Results: Of the 316 patients, the main postoperative complications were transient hypocalcemia in 87 (27.5%), permanent hypocalcemia in 16 (5.1%), transient vocal cord palsy in 4 (1.2%), and permanent vocal cord palsy in 2 (0.6%). Neck dissection and paratracheal lymph node dissection when associated with total thyroidectomy were significantly related to transitory and permanent hypocalcemia.Conclusion: Thyroid surgery can be performed safely in a hospital with medical residency training program under direct supervision of an experienced surgeon with acceptable morbidity. Hypocalcemia is the most significant complication. Neck and paratracheal lymph node dissections were the most significant predictors of hypocalcemia in patients submitted to total thyroidectomy. (C) 2004 Elsevier Inc. All rights reserved.