Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis.

Autor: Mahoney RC; Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, USA., Vossler JD; Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, USA., Murayama KM; Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, USA., Woodruff SL; Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, USA. Electronic address: slwoodru@hawaii.edu.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2021 Jan; Vol. 221 (1), pp. 122-126. Date of Electronic Publication: 2020 Jul 30.
DOI: 10.1016/j.amjsurg.2020.07.023
Abstrakt: Background: Recurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose of this study is to determine the predictors and consequences of RLN injury during thyroidectomy.
Methods: A retrospective analysis was conducted using the ACS-NSQIP 2016-2017 main and thyroidectomy targeted procedure databases. Data was analyzed by multivariate logistic regression resulting in risk-adjusted odds ratios of RLN injury and morbidity/mortality.
Results: Age ≥65, black race, neoplastic indication, total or subtotal thyroidectomy, concurrent neck surgery, operation time > median, hypoalbuminemia, and anemia were associated with RLN injury. Use of intraoperative nerve monitoring was associated with decreased RLN injuries. RLN injury is a risk factor for overall morbidity, hypocalcemia, hematoma, pulmonary morbidity, readmission, reoperation, and length of stay > median.
Conclusion: Several predictors of RLN injury during thyroidectomy are identified, while use of intraoperative nerve monitoring was associated with a decreased risk of RLN injury. RLN injury is associated increased postoperative complications.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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