Predictive factors for longer operative times for thyroidectomy

Asian Journal of Surgery
Hee Yong KwakHoon Yub Kim

Abstract

Conventional open thyroidectomy is considered as a safe surgery nowadays. However, surgeons sometimes encounter unexpected difficulty when performing thyroidectomies. The aim of this paper was to identify the predictors of a difficult thyroidectomy for the management of patients with papillary thyroid carcinoma. A database of patients who underwent open conventional thyroidectomy with cervical lymph node dissection after diagnosed papillary thyroid carcinoma between July 2008 and June 2013 was examined. In addition, the patients were subgrouped by difficult thyroidectomy (DT) and nondifficult thyroidectomy to determine the predictors of DT according to operation time. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities were investigated. No between-group differences in clinicopathologic factors and postoperative complications, except for male sex (p < 0.001) and tumor size (p = 0.039), were noted. Male sex [odds ratio (OR) 4.158, 95% confidence interval (CI) 2.020-8.559, p = 0.043] and age < 45 years (OR 2.239, 95% CI 1.304-3.843, p = 0.003) were independent factors associated with DT in a multivariate logistic regression model. Elevated antithyroglobulin antibody (OR 1.004, 95% CI 1.000-1.008, p...Continue Reading

References

Jun 6, 2003·The Annals of Otology, Rhinology, and Laryngology·Edward J DamroseJoel A Sercarz
May 11, 2006·JAMA : the Journal of the American Medical Association·Louise Davies, H Gilbert Welch
Jul 18, 2008·Thyroid : Official Journal of the American Thyroid Association·Ming-Lang ShihQuan-Yang Duh
Oct 20, 2009·Molecular and Cellular Endocrinology·Valentina GuarinoRosa Marina Melillo
Jan 22, 2011·World Journal of Surgery·Wan Wook KimJun-Ho Choe
Mar 26, 2011·The Journal of Surgical Research·Catherine McManusHerbert Chen
Jun 10, 2011·Journal of Postgraduate Medicine·P V PradeepS H Skandha
Oct 10, 2012·The Journal of Surgical Research·Catherine McManusHerbert Chen
Nov 20, 2012·Surgery·Haggi MazehHerbert Chen
Jun 26, 2013·CA: a Cancer Journal for Clinicians·David F Schneider, Herbert Chen
Mar 13, 2014·World Journal of Surgery·David F SchneiderRebecca S Sippel
Apr 23, 2014·The Journal of Surgical Research·Valerie M MokDavid F Schneider

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