Preoperative risk factors in total thyroidectomy of substernal goiter

• DOI: 10.2147/tcrm.s110464
• Publication Date: 2016-11-28T22:05:10Z
• Authors: Aldo Bove; Raffaella Maria D...; Gauro D'Urbano; Manuela Bellobono; Vincenzo D'Addetta; Alfonso Lapergola; Giuseppe Bongarzoni
• Keywords: total thyroidectomy; 03 medical and health sciences; 0302 clinical medicine; Therapeutics and Clinical Risk Management; complications; substernal goiter; Therapeutics. Pharmacology; RM1-950; Original Research; 3. Good health

Preoperative risk factors in total thyroidectomy of substernal goiter Aldo Bove, Raffaella Maria Di Renzo, Gauro D'Urbano, Manuela Bellobono, Vincenzo D' Addetta, Alfonso Lapergola, Giuseppe Bongarzoni Department Medicine, Dentistry and Biotechnology, University "G. d'Annunzio" Chieti-Pescara, Chieti Scalo, Italy Abstract: The definition (SG) is based on variable criteria leading to a considerable variation the reported incidence (from 0.2% 45%). peri- postoperative complications are higher (TT) for SG than that cervical goiter. aim this study was evaluate preoperative associated with complications. From 2002 2014, 142 (8.5%; 98 women 44 men) 1690 patients who underwent TT had SG. We retrospectively evaluated following parameters: sex, age, histology, pre- retrovascular position, recurrence, extension beyond carina. These parameters were then related complications: seroma/hematoma, transient permanent hypocalcemia, laryngeal nerve palsy, length surgery. results further compared control group 120 operated same period All but two procedures terminated via cervicotomy, where partial sternotomies required. No perioperative mortality observed. Results statistical analysis (Student's t-test Fisher's exact test) indicated an association between recurrence carina all showed statistically significant hypocalcemia (relative =1.767 95% confidence interval: 1.131–2.7605, P=0.0124, need treat =7.1) trend toward significance recurrent palsy =6.7806 0.8577–53.2898, P=0.0696, =20.8) procedure perform even if goiters. major In presence these factors, greater care should be taken. Keywords: goiter, thyroidectomy,