Total thyroidectomy in geriatric patients: a retrospective study
| Autor: | Francesco Tartaglia, Giulia Russo, Dimitri Krizzuk, Monica Sgueglia, Luciana Tromba, Giovanni Tortorelli, Merola R, Sara Blasi |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Comorbidity Postoperative Hemorrhage Postoperative Complications Risk Factors medicine Humans In patient Total thyroidectomy Aged Retrospective Studies Palsy Hypocalcemia business.industry Incidence (epidemiology) Incidence Retrospective cohort study General Medicine Perioperative Middle Aged medicine.disease Thyroid Diseases Total thyroidectomy Elderly patients Complications in thyroid surgery Surgery Elderly patients Complications in thyroid surgery Seroma Thyroidectomy Female business Vocal Cord Paralysis |
| Zdroj: | International journal of surgery (London, England). 12 |
| ISSN: | 1743-9159 |
| Popis: | In the English literature there is no single definition that identifies elderly patients. In our retrospective study, we divided total thyroidectomized patients operated on from 2000 to 2010 in the Department of Surgical Sciences of the “Sapienza” University of Rome, in two groups: group 1 consists of 448 patients over 65 years and group 2 consists of 1275 patients under 65 years. We compared both groups in terms of indications for surgery, histological diagnoses, postoperative complications (laryngeal nerv palsy, hypocalcemia, bleeding and seroma) and mortality. The results showed no statistically significant differences between the two groups with respect to the type of surgical indication, the type of comorbidities, the incidence of postoperative complications and perioperative mortality. The only data discordant with those in the international literature was the incidence of neoplastic disease that is found to be slightly greater in group 2. In conclusion, total thyroidectomy in patients over 65 years is a safe procedure and is not burdened with a higher percentage of postoperative complications, even if requires a careful preoperative assessment of risk factors related to comorbidity. |
| Databáze: | OpenAIRE |
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