Surgical Risk after Unilateral Lobectomy versus Total Thyroidectomy: A Review of 47,434 Patients
نویسندگان
چکیده
Charles Du Qin1, Sujata Saha1, Ryan Meacham2, Sandeep Samant2, Jon P Ver Halen3,* and John YS Kim1 1Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA 2Department of OtolaryngologyHead and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA 3Division of Plastic and Reconstructive Surgery, Baptist Cancer Center, Memphis, Tennessee; Department of Surgery, St. Jude Children’s Research Hospital, Memphis, Tennessee; Department of Surgical Oncology, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, USA
منابع مشابه
Comparative study of robotic versus endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach.
BACKGROUND Robotic thyroidectomy and conventional endoscopic thyroidectomy have not been thoroughly compared. In this study, we compared the potential advantages of robotic versus endoscopic thyroidectomy. METHODS We analyzed 218 consecutive patients who underwent endoscopic (105 cases) or robotic (113 cases) thyroidectomy using a gasless unilateral axillo-breast or gasless unilateral axillar...
متن کاملCanadian Association of General Surgeons Evidence Based Reviews in surgery. 4. Decision analysis of total thyroidectomy versus thyroid lobectomy in low-risk, differentiated thyroid cancer.
Question: What is the best surgical approach for low-risk, differentiated thyroid cancer? Design: Decision analysis using a simple decision tree. Base case: A patient with a localized, well-differentiated thyroid cancer. Treatment alternatives: Total or near-total thyroidectomy or thyroid lobectomy. Outcomes considered: Risk of surgical complications, recurrence and death after 10 years’ follow...
متن کاملThe Morbidity of Reoperative Surgery for Recurrent Benign Nodular Goitre: Impact of Previous Unilateral Thyroid Lobectomy versus Subtotal Thyroidectomy
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 t...
متن کاملDiagnosis and surgical treatment of giant goiter
Objective: This study aimed to summarize the experience in diagnosis and surgical treatment for giant goiter. Methods: The clinical features of 66 patients with giant goiter were retrospectively reviewed, and the perioperative management, postoperative complications and treatments were summarized. Results: All the patients received surgical treatment: total thyroidectomy in 46 patients, bilater...
متن کاملCost analysis of thyroid lobectomy and intraoperative frozen section versus total thyroidectomy in patients with a cytologic diagnosis of "suspicious for papillary thyroid cancer".
BACKGROUND The optimal operation for a patient with a thyroid nodule "suspicious for papillary thyroid cancer (PTC)" on fine-needle aspiration (FNA) is unclear. This study examines the incremental cost-utility of thyroid lobectomy with intraoperative frozen section (thyroid lobectomy) versus total thyroidectomy. METHODS Cost-utility analysis was performed for patients with a cytologic diagnos...
متن کامل