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2013 | 85 | 6 | 317-322
Tytuł artykułu

One-Day Thyroid Surgery – Is it Safe?

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
was to evaluate the safety of one-day thyroid surgery based on the assessment of the incidence of early postoperative complications. Material and methods. The study comprised 726 patients who underwent total thyroidectomy during the period between January, 2012 and February, 2013. The study considered the three most common thyroidectomy complications. Results. In the group of 726 patients, recurrent laryngeal nerve paralysis was observed in 22 cases, accounting for 3.07% of all patients. Postoperative bleeding was observed in 12 cases (1.65%). In 8 cases, bleeding occurred during the first 8 hours after surgery, while in the remaining four cases- 9, 12, 18, and 26 hours after surgery. The study group was divided into three subgroups, in which the concentrations of calcium and parathyroid hormone, 6 hours and 20 hours after surgery, were determined. In the first group (223 patients), only the parathyroid hormone level was determined. The decreased PTH level was associated with the appearance of tetany symptoms in 15% of cases. Amongst patients in whom the parathyroid hormone level was normal, tetany symptoms were observed in 0.5% of cases. In the second group (256 patients), only the serum calcium level was determined. Amongst patients with normal serum calcium levels, 1% of cases presented with tetany symptoms. In patients where the serum calcium level was reduced, tetany symptoms appeared in 35% of cases. In the third group (247 patients), both serum calcium and parathyroid hormone levels were determined. In the group of patients with normal, both serum calcium and parathyroid hormone levels, tetany symptoms were not observed. Amongst patients with normal serum calcium levels and decreased PTH levels on the day of surgery, tetany symptoms were observed in 25% of cases, while during the first postoperative day-37% of cases. Conclusion. One-day thyroid surgery, due to the appearance of complications cannot be regarded as a completely safe procedure.
Wydawca

Rocznik
Tom
85
Numer
6
Strony
317-322
Opis fizyczny
Daty
wydano
2013-06-01
online
2013-07-05
Twórcy
  • Department of General and Oncological Surgery, Hospital in Kutno, 99-300 Kutno, ul. Kościuszki 52, Kierownik: dr n. med. P. Ziemniak, m.wieloch@interia.pl
autor
  • Department of Endocrine and General Surgery, Medical University in Łódź, Kierownik: prof. dr hab. K. Kuzdak
  • Department of Endocrine and General Surgery, Medical University in Łódź, Kierownik: prof. dr hab. K. Kuzdak
  • Department of General and Oncological Surgery, Hospital in Kutno, Kierownik: dr n. med. P. Ziemniak
  • Department of Endocrine and General Surgery, Medical University in Łódź, Kierownik: prof. dr hab. K. Kuzdak
Bibliografia
  • 1. Grodski S, Serpell J: Evidence for the role of perioperative PTH measurement after total thyroidectomy as a predictor of hypocalcemia. World JSurg 2008; 32(7): 1367-73.[Crossref][WoS]
  • 2. Díez Alonso M, Sánchez López JD , Sánchez-SecoPeña MI et al.: Serum PTH levels as a predictive factor of hypocalcaemia after total thyroidectomy. Cir Esp 2009; 85(2): 96-102.[Crossref]
  • 3. Doran HE, England J, Palazzo F: Questionable safety of thyroid surgery with same day discharge. Ann R Coll Surg Engl 2012; 94(8): 543-47.[WoS]
  • 4. Konturek A, Barczyński M, Stopa M et al.: Total thyroidectomy for non-toxic multinodular goiter with versus without the use of harmonic FOCUS dissecting shears - a prospective randomized study. Wideochir Inne Tech Mało Inwazyjne 2012; 7(4): 268-74.[WoS]
  • 5. Materazzi G, Dionigi G, Berti P et al.: One-day thyroid surgery: retrospective analysis of safety and patient satisfaction on a consecutive series of 1,571 cases over a three-year period. Eur Surg Res 2007; 39(3): 182-88.[WoS]
  • 6. Mirnezami R, Sahai A, Symes A et al.: Day-case and short-stay surgery: the future for thyroidectomy? Int J Clin Pract 2007; 61(7): 1216-22.[WoS][Crossref][PubMed]
  • 7. Quiros RM, Pesce CE, Wilhelm SM et al.: Intraoperative parathyroid hormone levels in thyroid surgery are predictive of postoperative hypoparathyroidism and need for vitamin D supplementation. Am J Surg 2005 Mar; 189(3): 306-09.
  • 8. Costanzo M, Marziani A, Condorelli F et al.: Post-thyroidectomy hypocalcemic syndrome: predictive value of early PTH. Preliminary results. Ann Ital Chir 2010 Jul-; 81(4): 301-05.[PubMed]
  • 9. Grodski S, Serpell J: Evidence for the role of perioperative PTH measurement after total thyroidectomy as a predictor of hypocalcemia. World JSurg 2008 Jul; 32(7): 1367-73.[Crossref][WoS]
  • 10. Lombardi CP, Raffaelli M, Princi P et al.: Parathyroid hormone levels 4 hours after surgery do not accurately predict post-thyroidectomy hypocalcemia. Surgery 2006; 140(6): 1016-23.[WoS]
  • 11. Proczko-Markuszewksa M, Kobiela J, StefaniakT i wsp.: Pooperacyjny pomiar PTH jako wczesny czynnik rokowniczy hipokalcemii po operacjach całkowitego wycięcia gruczołu tarczowego. PolPrzegl Chir 2010; 82: 40-48.
  • 12. Promberger R, Ott J, Kober F et al.: Normal parathyroid hormone levels do not exclude permanent hypoparathyroidism after thyroidectomy. Thyroid 2011; 21(2): 145-50.[PubMed][WoS][Crossref]
  • 13. Jumaily JS, Noordzij JP, Dukas AG et al.: Prediction of hypocalcemia after using 1- to 6-hour postoperative parathyroid hormone and calcium levels: an analysis of pooled individual patient data from 3 observational studies. Head Neck 2010; 32(4): 427-34.[WoS]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0047
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