Comparison of postoperative complications in total thyroidectomy patients according to age groups Total tiroidektomi yapi{dotless}lan hastalarda post operatif komplikasyonlari{dotless}n yaş gruplari{dotless}na göre karşi{dotless}laşti{dotless}ri{dotless}lmasi{dotless}
Duzce Medical Journal, cilt.15, sa.3, ss.5-8, 2013 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 3
- Basım Tarihi: 2013
- Dergi Adı: Duzce Medical Journal
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.5-8
- Anahtar Kelimeler: Age, Comparison, Complication, Thyroidectomy
- Karadeniz Teknik Üniversitesi Adresli: Evet
Özet
Purpose: The incidence of autoimmune hypothyroidism increases with age, and anaplastic thyroid cancers are seen more frequently. Surgical procedures may be risky due to potential comorbidities in advanced age. Our study was intended to evaluate the reliability of total thyroidectomy due to benign thyroid diseases in patients aged 50 and over. Material and method: Following approval from the Karadeniz Technical University Faculty of Medicine Ethical Committee, 150 patients aged between 20 and 80 on whom total thyroidectomy was performed due to benign thyroid diseases between August 2008 and August 2009 were prospectively enrolled. Patients were divided in two groups; age under 50 (Group 1) and age 50 and above (Group 2). The reliability of total thyroidectomy surgery in patients aged over 50 was investigated by analyzing the difference between the two groups in terms of complications arising. Results: Seventy-six of the patients included in the study were aged under 50 (Group 1), and 74 were aged over 50 (Group 2). Patients' demographic characteristics are given in Table 1. In terms of complications, wound site infection was determined in 1 of the 76 patients in Group 1, permanent hypocalcemia in 3, unilateral permanent RLN injury in Group 1. Wound site infection was determined in 1 of the 74 patients in Group 2, permanent hypocalcemia in 5 and unilateral permanent RLN injury in 1. V.A.S. (Visual Analog Scale) scoring was made in evaluation of the operation scar of the patients and the mean V.A.S. score was 10.11. In Group 1 the mean value was 9,36 and in Group 2 the score was 10.88. Conclusion: Thyroid cancer being endemic in the Eastern Black Sea region of Turkey and hyperthyroid-associated clinical findings being manageable has led to surgeons performing total thyroidectomy more frequently. Our study revealed that with the exception of wound healing, total thyroidectomy was similar in young and older patients in terms of morbidity and length of hospitalization. We consider that total thyroidectomy can also be performed safely in the elderly when indicated. © 2013 Düzce Medical Journal.