Morbilidad postoperatoria en cirugía tiroidea
- Gómez Palacios, Angel
- Gutiérrez Rodríguez, Maria Teresa
- Barrios Treviño, B.
- Gómez Zabala, Jesús
- Expósito Rodríguez, Amaia
- González Vela, María Carmen
- Echevarría, E.
- Pérez de Villarreal Amilburu, Patricia
- Antonio Escobar, E.
- Iturburu Belmonte, Ignacio Miguel
ISSN: 1139-8264
Année de publication: 2011
Volumen: 14
Número: 3
Pages: 147-152
Type: Article
D'autres publications dans: Revista española de investigaciones quirúrgicas
Résumé
OBJECTIVES. To present the morbidity of our thyroid surgery, relating it to the clinical diagnosis, type of surgery and, when it is done, the "central dissection". MATERIALS AND METHOD. Prospective study of cohorts (1998-2010), conducted on 772 patients treated by thyroidectomies, 266 lobectomies, 444 simple total thyroidectomies and 62 with "central dissection". We describe their clinicopathological characteristics and postoperative morbidity (recurrent lesions, hypocalcemia <8 mgrs/dl and suffocating hematomas) relating them to the clinical diagnosis and type of surgery performed. Statistical comparison by means of Chi2 (p<0.05). RESULTS. The percentage of transient recurrent dysfunctions (TRD) was 7.6%. That of definitive recurrent paralysis (DRP) was 1.42%. That of hypocalcemia, at 24 hours, was 57.7%, at one month 10.8%, at six months 6.85% and that of definitive hypoparathyroidism was 0.5%. There were 2.9% of suffocating hematomas and 2% of sequelae. The recurrent affection and hypocalcemia were greater in Grave's Disease and in carcinomas than in the MNG and solitary nodules (p<0.001). There were also differences in the incidence of TRD and of hypocalcemia, greater in the total thyroidectomies with "central dissection" than in the simple total thyroidectomies, and greater in these than in the partial (p<0,001), but not in the DRP and sequelae.