The Morbidity of Reoperative Surgery for Recurrent Benign Nodular Goitre: Impact of Previous Unilateral Thyroid Lobectomy versus Subtotal Thyroidectomy
المؤلفون المشاركون
Rudolph, Navin
Dominguez, Claudia
Beaulieu, Anthony
De Wailly, Pierre
Kraimps, Jean-Louis
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-01-19
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Subtotal thyroidectomy (STT) was previously considered the gold standard in the surgical management of multinodular goitre despite its propensity for recurrence.
Our aim was to assess whether prior STT or unilateral lobectomy was associated with increased reoperative morbidity.
Methods.
A retrospective analysis was conducted extracting data from our endocrine surgical database for the period from January 1991 to June 2006.
Two patient groups were defined: Group 1 consisted of patients with previous unilateral thyroid lobectomy; Group 2 had undergone previous STT.
Specific outcomes investigated were transient and permanent recurrent laryngeal nerve (RLN) injury and hypoparathyroidism.
Results.
494 reoperative cases were performed which consisted of 259 patients with previous unilateral lobectomy (Group 1) and 235 patients with previous subtotal thyroidectomy (Group 2).
A statistically significant increase relating to previous STT was demonstrated in both permanent RLN injury (0.77% versus 3.4%, RR 4.38, P = 0.038 ) and permanent hypoparathyroidism (1.5% versus 5.1%, RR 3.14, P = 0.041 ).
Transient nerve injury and hypocalcaemia incidence was comparable.
Conclusions.
Reoperative surgery following subtotal thyroidectomy is associated with a significantly increased risk of permanent recurrent laryngeal nerve injury and hypoparathyroidism when compared with previous unilateral thyroidectomy.
Subtotal thyroidectomy should therefore no longer be recommended in the management of multinodular goitre.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rudolph, Navin& Dominguez, Claudia& Beaulieu, Anthony& De Wailly, Pierre& Kraimps, Jean-Louis. 2014. The Morbidity of Reoperative Surgery for Recurrent Benign Nodular Goitre: Impact of Previous Unilateral Thyroid Lobectomy versus Subtotal Thyroidectomy. Journal of Thyroid Research،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1043258
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rudolph, Navin…[et al.]. The Morbidity of Reoperative Surgery for Recurrent Benign Nodular Goitre: Impact of Previous Unilateral Thyroid Lobectomy versus Subtotal Thyroidectomy. Journal of Thyroid Research No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1043258
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rudolph, Navin& Dominguez, Claudia& Beaulieu, Anthony& De Wailly, Pierre& Kraimps, Jean-Louis. The Morbidity of Reoperative Surgery for Recurrent Benign Nodular Goitre: Impact of Previous Unilateral Thyroid Lobectomy versus Subtotal Thyroidectomy. Journal of Thyroid Research. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1043258
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1043258
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر