Completion thyroidectomy: A safe option for high-volume surgeons.

Autor: Issa PP; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Hossam E; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Cheng JH; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Magazine BM; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Hussein M; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Luo X; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Abdelhady A; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Staav J; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., LaForteza A; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Albuck AL; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Shama M; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Toraih E; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA., Kandil E; Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Jan; Vol. 46 (1), pp. 57-63. Date of Electronic Publication: 2023 Oct 23.
DOI: 10.1002/hed.27551
Abstrakt: Background: The risk of complication in patients undergoing completion thyroidectomy (cT) is mixed. Several studies report increased risk in comparison to total thyroidectomy (TT) and still others reporting a comparatively decreased risk. We compared the rates of complication in patients at our institution undergoing thyroid lobectomy (TL), (TT), and cT by a single high-volume surgeon.
Methods: We performed a single-institution retrospective cohort study. Patients undergoing TL, TT, or cT by a high-volume surgeon were included. Rates of complication were collected and compared between the three cohorts.
Results: A total of 310 patients were included. The overall rate of complication was 4.2%. The complication rates in the TL, TT, and cT cohorts were 1%, 7.1%, and 4.5%, respectively (p = 0.10). Transient hypocalcemia was slightly more common in the TT cohort (6.1%) as opposed to the TL (0%) or cT (0.9%) cohort (p = 0.01). The cohorts also had similar rates of recurrent laryngeal nerve signal loss leading to transient dysphonia (TL: 0% vs. TT: 1% vs. cT: 3.6%, p = 0.10).
Conclusions: While rates of complication tended to predictably decrease as approaches became less extensive, there were no significant differences in complication rates among the three surgical approaches when performed by a high-volume surgeon. Considering the low rates of complication overall, patient counseling and preference should be emphasized to provide appropriate and tailored treatment plans.
(© 2023 The Authors. Head & Neck published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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