Impact of body mass index on post-thyroidectomy morbidity
| Autor: | Sahar Bannani, Valery-Pierre Riche, François Pattou, Jean-Christophe Lifante, Gérard Landecy, Eric Mirallié, Jean-Michel Prades, Marcel Dahan, Claire Blanchard, Alain Bizon, Frederic Sebag, Niki Christou, Antoine Hamy, Emmanuel Babin, Laurent Brunaud, Christelle Volteau, Henri-Pierre Dernis, Muriel Mathonnet, Frank Jegoux, C. Caillard |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Operative Time 030230 surgery Overweight Body Mass Index 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Recurrent laryngeal nerve Humans Hypocalcaemia Prospective Studies Prospective cohort study Pain Postoperative Palsy Hypocalcemia business.industry Thyroidectomy nutritional and metabolic diseases Length of Stay Middle Aged medicine.disease Surgery Otorhinolaryngology 030220 oncology & carcinogenesis Calcium Female Underweight medicine.symptom business Body mass index Vocal Cord Paralysis |
| Zdroj: | Headneck. 41(9) |
| ISSN: | 1097-0347 0155-1914 |
| Popis: | Background The impact of obesity on total thyroidectomy (TT) morbidity (recurrent laryngeal nerve palsy and hypocalcaemia) remains largely unknown. Methods In a prospective study (NCT01551914), patients were divided into five groups according to their body mass index (BMI): underweight, normal weight, overweight, obese, and severely obese. Preoperative and postoperative serum calcium was measured. Recurrent laryngeal nerve (RLN) function was evaluated before discharge, and if abnormal, at 6 months. Results In total 1310 patients were included. Baseline characteristics were similar across BMI groups except for age and sex. Postoperative hypocalcaemia was more frequent in underweight compared to obese patients but the difference was not statistically significant in multivariate analysis. There was no difference between groups in terms of definitive hypocalcaemia, transient and definitive RLN palsy, and postoperative pain. Conclusion Obesity does not increase intraoperative and postoperative morbidity of TT, despite a longer duration of the procedure. |
| Databáze: | OpenAIRE |
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