PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2008 | 80 | 9 | 441-445
Tytuł artykułu

Reoperative Surgery for Benign Thyroid Diseases

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to present a retrospective analysis of the experience with completion thyroidectomy for benign thyroid disease in a referral centre.Material and methods. Between October 1999 and December 2007, 2353 thyroid operations were performed for benign diseases. Of these, 113 patients (12 men, 101 women; age: 25-77 years) underwent a reoperation for recurrent goitre (n=107) or recurrent Grave's disease (n=6). A bilateral resection was performed in 33 patients, a unilateral in 80 patients. The mean interval between the initial and the reoperative procedure was 14.5 years.Results. The mean operative time was 78 minutes (range: 20-210) with 68 minutes for unilateral and 96 minutes for bilateral operations. Postoperative complications consisted of transient hypoparathyroidism in 6 patients (5.3%); no patient experienced a permanent hypoparathyroidism. A transient recurrent laryngeal nerve (RLN) palsy occurred in 6 cases (4.1% of "nerves at risk") and a definitive bilateral RLN palsy was registered in a patient with a preoperative unilateral RLN palsy (0.9%). In 4 patients (3.5%) a postoperative bleeding required reoperation. No wound infection was observed. The mean postoperative hospital stay was 2.3 days. Final histology showed a thyroid cancer in 6 patients (5.3%).Conclusion. In experienced hands, reoperative thyroid surgery can be performed safely and with limited morbidity.
Wydawca

Rocznik
Tom
80
Numer
9
Strony
441-445
Opis fizyczny
Daty
wydano
2008-09-01
online
2008-09-25
Twórcy
  • Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg, Essen
autor
  • Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg, Essen
autor
  • Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg, Essen
Bibliografia
  • Gough IR, Wilkinson D: Total thyroidectomy for management of thyroid disease. World J Surg 2000; 24:962-65.
  • Berghout A, Wiersinga WM, Drexhage HA et al.: The long-term outcome of thyroidectomy for sporadic non-toxic goitre. Clin Endocrinol 1989; 31: 193-199.
  • Pasieka JL, Thompson NW, McLeod MK et al.: The incidence of bilateral well-differentiated thyroid cancer found at completion thyroidectomy. World J Surg 1992; 16: 711-16.
  • Visset J, Lumingu K, Le Bodic MF et al.: Chirurgie 1991; 117: 37-42.
  • Chao TC, Jeng LB, Lin JD et al.: Reoperative thyroid surgery. World J Surg 1997; 21: 644-47.
  • Levin KE, Clark AH, Duh QY et al.: Reoperative thyroid surgery. Surgery 1992; 111: 604-09.
  • Menegaux F, Turpin G, Dahman M et al.: Secondary thyroidectomy in patients with prior thyroid surgery for benign disease: a study of 203 cases. Surgery 1999; 125: 479-83.
  • Hsu B, Reeve TS, Guinea AI et al.: Recurrent substernal nodular goiter: incidence and management. Surgery 1996; 120: 1072-75.
  • Müller PE, Jakoby R, Heinert G et al.: Surgery for recurrent goitre: its complications and their risk factors. Eur J Surg 2001; 167: 816-21.
  • Makeieff M, Rubinstein P, Youssef B et al.: Repeat surgery for thyroid nodules (excluding cancer and hyperthyroidism). Ann Chir 1998; 52: 970-77.
  • Wilson DB, Staren ED, Prinz RA: Thyroid reoperations: indications and risks. Am Surg 1998; 64: 674-79.
  • Reeve TS, Delbrige L, Brady P et al.: Secondary thyroidectomy: a twenty-years experience. World J Surg 1988; 12: 449-53.
  • Peix JL, Van Box Som P, Olagne E et al.: Results of reoperation for goiter. Ann Chir 1997; 51: 217-21.
  • Calabro S, Auguste LJ, Attie JN: Morbidity of completion thyroidectomy for initially misdiagnosed thyroid carcinoma. Head Neck Surg 1998; 10: 235-38.
  • Goretzki PE, Simon D, Frilling A et al.: Surgical reintervention for differentiated thyroid cancer. Br J Surg 1993; 80: 1009-12.
  • Lefevre JH, Tresallet C, Leenhardt L et al.: Reoperative surgery for thyroid disease. Langenbeck Arch Surg 2007; 392: 685-91.
  • De Jong SA, Demeter JG, Lawrence AM et al.: Necessity and safety of completion thyroidectomy for differentiated thyroid carcinoma. Surgery 1992; 112: 734-37.
  • Beahrs OH, Vandertoll DJ: Complications of secondary thyroidectomy. Surg Gynecol Obstet 1963; 117: 117-19.
  • Thomas CG: Invited Commentary. World J Surg 1988; 12: 452.
  • Clark OH: Total thyroidectomy: the preferred option for multinodular goiter. Ann Surg 1988; 208: 244-45.
  • Delbrige L, Guinea AI, Reeve TS: Total thyroidectomy for benign bilateral multinodular goiter. Effect of changing practice. Arch Surg 1999; 134: 1389-93.
  • Rios-Zambudio A, Rodriguez J, Riquelme J et al.: Prospective study of postoperative complications after total thyroidectomy for multinodular goiter by surgeons with experience in endocrine surgery. Ann Surg 2004; 240: 18-25.
  • Gibelin H, Sierra M, Mothes D et al.: Risk factor for recurrent nodular goiter after thyroidectomy for benign disease: case-control study of 224 patients. World J Surg 2004; 28: 1079-82.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-008-0064-8
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.