Outcomes of Early Versus Delayed Completion Thyroidectomy for Malignancy.
[PURPOSE] To determine whether time interval between hemi-thyroidectomy and subsequent completion thyroidectomy impacts outcomes.
- 표본수 (n) 17
APA
Park JJ, Frank E, et al. (2023). Outcomes of Early Versus Delayed Completion Thyroidectomy for Malignancy.. The American surgeon, 89(5), 1580-1583. https://doi.org/10.1177/00031348211067999
MLA
Park JJ, et al.. "Outcomes of Early Versus Delayed Completion Thyroidectomy for Malignancy.." The American surgeon, vol. 89, no. 5, 2023, pp. 1580-1583.
PMID
34978505
Abstract
[PURPOSE] To determine whether time interval between hemi-thyroidectomy and subsequent completion thyroidectomy impacts outcomes.
[METHODS] Retrospective review of 68 patients having completion thyroidectomy from August 2012 to December 2019. Patients were separated into two groups based on the time interval between surgeries: early (≤10 days) or delayed (≥90 days).
[RESULTS] Patients who underwent delayed completion thyroidectomy (n = 17) had significantly higher rates of hypocalcemia and/or hypoparathyroidism ( = .03) and higher rates of requiring postoperative hospitalization (=.07) compared to those who underwent early completion thyroidectomy (n = 51). Delayed completion had significantly lower risk of developing one or more of dysphonia, dysphagia, or vocal cord paresis postoperatively (=.02). No patients developed hematoma or wound infection.
[CONCLUSIONS] Delayed completion thyroidectomy is associated with increased rates of hypocalcemia, but lower rates of dysphonia and dysphagia. Given the low risk of long-term complications in both groups, it may be beneficial to perform completion thyroidectomy early in order to expedite cancer treatment.
[METHODS] Retrospective review of 68 patients having completion thyroidectomy from August 2012 to December 2019. Patients were separated into two groups based on the time interval between surgeries: early (≤10 days) or delayed (≥90 days).
[RESULTS] Patients who underwent delayed completion thyroidectomy (n = 17) had significantly higher rates of hypocalcemia and/or hypoparathyroidism ( = .03) and higher rates of requiring postoperative hospitalization (=.07) compared to those who underwent early completion thyroidectomy (n = 51). Delayed completion had significantly lower risk of developing one or more of dysphonia, dysphagia, or vocal cord paresis postoperatively (=.02). No patients developed hematoma or wound infection.
[CONCLUSIONS] Delayed completion thyroidectomy is associated with increased rates of hypocalcemia, but lower rates of dysphonia and dysphagia. Given the low risk of long-term complications in both groups, it may be beneficial to perform completion thyroidectomy early in order to expedite cancer treatment.
MeSH Terms
Humans; Thyroidectomy; Hypocalcemia; Dysphonia; Deglutition Disorders; Postoperative Complications; Thyroid Neoplasms; Retrospective Studies; Hypoparathyroidism
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