Indications and complications for surgical management of thyroid diseases: A single center experience.

Autor:	Alyahya KA; Head & Neck Surgery College of Medicine, King Faisal University, Al-Hasa, Saudi Arabia., Alarfaj AA; Head & Neck Surgery College of Medicine, King Faisal University, Al-Hasa, Saudi Arabia., Alyahya AA; College of Medicine, King Faisal University, Al-Hasa, Saudi Arabia., Alnaim AE; College of Medicine, King Faisal University, Al-Hasa, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2022 Jun 14; Vol. 79, pp. 103980. Date of Electronic Publication: 2022 Jun 14 (Print Publication: 2022).
DOI:	10.1016/j.amsu.2022.103980
Abstrakt:	Background: Thyroid disorders are one of the most common endocrine disorders. Thyroid disorders are highly prevalent in the Saudi population. There are many approaches to treat thyroid disorders, varying from conservative to surgical, depending on the severity of each condition. There are many indications for surgical management of thyroid diseases, including carcinoma, hyperthyroidism, and local compression symptoms. Materials and Methods: This is a retrospective study included subjects operated upon for a thyroid disorder over 6 years period in the eastern province of Saudi Arabia. Results: The clinical manifestations and postoperative characteristics of the patients are given in Table 2. It can be observed that the most dominant clinical presentation was neck mass (76.4%), while the most common indication of surgery was the suspicion of cancer (54.5%). Furthermore, the most common histopathology was papillary thyroid cancer (41.8%), whereas the most common complication after the surgery was hypocalcemia (9.1%). Likewise, total thyroidectomy was the most commonly sought surgical intervention (70.9%). Additionally, Bethesda class III constitutes 35.1%, while Bethesda class II constitutes 29.7%. Conclusion: Suspicion of cancer was the most prominent indication for surgical intervention. The most prevalent postoperative complications were hypocalcemia. Furthermore, papillary thyroid carcinoma was the most common histological findings, which raises several questions since it contrasts with previous studies done in Saudi Arabia. We believe that the number of thyroid procedures in our region is underreported, and more research is needed to validate this. Competing Interests: All authors declare that they have no conflicts of interest, and that they have no financial or personal relationships with any people or organizations that could improperly affect (bias) our work. (© 2022 The Authors.)
Databáze:	MEDLINE
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