The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India
| Autor: | Abhai Verma, Gaurav Agarwal, Sudhi Agarwal, Gyan Chand, Saroj K Mishra, Ashok Kumar, Amit Agarwal, Anjali Mishra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Goiter complications Endocrinology Diabetes and Metabolism medicine.medical_treatment 030230 surgery lcsh:Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences 0302 clinical medicine Endocrinology uniform technique medicine Euthyroid Thoracotomy lcsh:RC799-869 Total thyroidectomy lcsh:RC648-665 Dissection technique business.industry medicine.disease Surgery Endocrine surgery Dissection Tracheomalacia 030220 oncology & carcinogenesis lcsh:Diseases of the digestive system. Gastroenterology Original Article Capsular dissection primary total thyroidectomy business |
| Zdroj: | Indian Journal of Endocrinology and Metabolism Indian Journal of Endocrinology and Metabolism, Vol 22, Iss 3, Pp 362-367 (2018) |
| ISSN: | 2230-9500 2230-8210 |
| Popis: | Background: Total thyroidectomy (TT) with a uniform technique of capsular dissection (CD) is the preferred technique worldwide. The aim of study is to analyze the impact of uniform technique of CD for done as primary surgery at an endocrine surgery training centre. Patients and Methods: Retrospective review from 1995 to 2009. Data collected from hospital records and follow-up . Results: One thousand and thirty-eight cases were included, with mean age 42.91 ± 13.48 years; male:female – 1:2.2; mean duration of goiter – 99.83 ± 105.1 months; 67.8% were euthyroid and 30.7% – hyperthyroid at initial presentation; 35.5% were malignant. Surgery includes TT alone – 77.7% and TT with lymph nodes dissection – 22.3%; sternotomy required in 1.2% and thoracotomy in 0.1%; tracheomalacia present in 3.9%; however, tracheostomy required in 4.5% and parathyroid autotransplantation in 21%; Peroperative mean gross gland weight was 124.34 ± 129.85 g. Complications include hypocalcemia (temporary – 35.9%; permanent – 1.3%); recurrent laryngeal nerve palsy (temporary – 2.7%; permanent – 91%); hemorrhage – 1.3%; and various others. Conclusion: TT with uniform technique of CD is a safe procedure. Certain risk factors may predispose to complications, which can be avoided and managed adequately if anticipated beforehand. |
| Databáze: | OpenAIRE |
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