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From ablation to operation: Unraveling the surgical outcomes and complications of thyroidectomy after radiofrequency ablation.
Hussein, Mohammad; Toraih, Eman; Issa, Peter P; Omar, Mahmoud; Aboueisha, Mohamed; Buti, Yusef; Issa, Chad P; Albuck, Aaron L; Cironi, Katherine; Attia, Abdallah S; LaForteza, Alexandra C; Shama, Mohamed; Kandil, Emad.
Afiliación
  • Hussein M; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Toraih E; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA. Electronic address: etoraih@tulane.edu.
  • Issa PP; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Omar M; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Aboueisha M; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Buti Y; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Issa CP; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Albuck AL; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Cironi K; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Attia AS; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • LaForteza AC; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Shama M; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
  • Kandil E; Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
Surgery ; 175(1): 146-152, 2024 01.
Article en En | MEDLINE | ID: mdl-37867100
ABSTRACT

BACKGROUND:

Radiofrequency ablation is a minimally invasive treatment for thyroid nodules; however, concerns exist regarding its impact on subsequent thyroid surgery. We compared surgical outcomes and complications between patients undergoing thyroidectomy after radiofrequency ablation (post-radiofrequency ablation thyroidectomy group) and those without prior radiofrequency ablation (non-radiofrequency ablation thyroidectomy group).

METHODS:

We retrospectively analyzed thyroidectomy patients, comparing post-radiofrequency ablation thyroidectomy and non-radiofrequency ablation thyroidectomy groups, examining demographics, nodule characteristics, surgical techniques, and complications.

RESULTS:

The study included 96 patients (73 in the non-radiofrequency ablation thyroidectomy group and 23 in the post-radiofrequency ablation thyroidectomy group). The mean age was 53.3 ± 14.4 years, with 78.1% female patients and 36.5% African American patients. Median operative time was similar between the post-radiofrequency ablation thyroidectomy (110 minutes) and the non-radiofrequency ablation thyroidectomy (92 minutes) cohorts (P = .40). Complications were reported in 13 patients, without significant differences between groups (P = .54). No permanent complications, including nerve injury or hypoparathyroidism, were reported in either cohort. Prior radiofrequency ablation treatment did not increase the risk of complications (odds ratio = 3.48, 95% confidence interval = 0.70-17.43, P = .16).

CONCLUSION:

Our work found no differences in outcomes or safety in patients undergoing thyroidectomy with or without previous radiofrequency ablation treatment, potentiating the post-radiofrequency ablation thyroidectomy group as a safe management option. Accordingly, this may reassure both clinicians and patients of the safety of radiofrequency ablation in treating patients with thyroid nodules.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nódulo Tiroideo / Ablación por Catéter / Ablación por Radiofrecuencia Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Surgery Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nódulo Tiroideo / Ablación por Catéter / Ablación por Radiofrecuencia Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Surgery Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos