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Technological Advances Have Improved Surgical Outcome in Thyroid Surgery: Myth or Reality?
Aydin, H; Ferahman, S; Abdullayev, S; Sahbaz, N A; Dural, A C; Guzey, D; Akarsu, C; Karabulut, M.
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  • Aydin H; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Ferahman S; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Abdullayev S; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Sahbaz NA; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Dural AC; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Guzey D; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Akarsu C; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
  • Karabulut M; Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital - General Surgery, Istanbul, Turkey.
Acta Endocrinol (Buchar) ; 17(1): 1-6, 2021.
Article en En | MEDLINE | ID: mdl-34539903
AIM: In this study, we aimed to investigate the effects of Ultrasonic Coagulation (UC), Bipolar Energy Sealing System (BESS), Intra Operative Nerve Monitoring (IONM) and surgical experience on the complications of thyroid surgery. METHOD: The data of 1627 patients who underwent thyroid surgery for various indications in our department between 2009 and 2018 were analyzed retrospectively and the effects of different technological devices on complications were investigated. RESULTS: Transient recurrent laryngeal nerve (RLN) palsy was higher between 2009 and 2013, when IONM was not in routine use (p=0.029). There were no significant differences between two energy devices (UC and BESS) in terms of transient or permanent RLN palsy, bleeding, and transient or permanent hypocalcemia. Multivariate analysis showed that young age (0.006), female gender (0.016), surgery type (p<0.001), and lateral neck dissection (p=0.026) are independent risk factors for transient hypocalcemia. CONCLUSION: The results indicate that there is no superior hemostatic device. IONM and specific branching decrease transient RLN palsy. Female gender, young age, completion thyroidectomy, and lateral neck dissection were independent risk factors for the development of transient hypocalcemia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Acta Endocrinol (Buchar) Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Rumanía
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Acta Endocrinol (Buchar) Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Rumanía