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The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India
BACKGROUND: Total thyroidectomy (TT) with a uniform technique of capsular dissection (CD) is the preferred technique worldwide. The aim of study is to analyze the impact of uniform technique of CD for done as primary surgery at an endocrine surgery training centre. PATIENTS AND METHODS: Retrospectiv...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6063184/ https://www.ncbi.nlm.nih.gov/pubmed/30090728 http://dx.doi.org/10.4103/ijem.IJEM_598_17 |
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author | Chand, Gyan Agarwal, Sudhi Mishra, Anjali Agarwal, Gaurav Verma, A. K. Mishra, Saroj Kumar Agarwal, Amit Kumar, Ashok |
author_facet | Chand, Gyan Agarwal, Sudhi Mishra, Anjali Agarwal, Gaurav Verma, A. K. Mishra, Saroj Kumar Agarwal, Amit Kumar, Ashok |
author_sort | Chand, Gyan |
collection | PubMed |
description | BACKGROUND: Total thyroidectomy (TT) with a uniform technique of capsular dissection (CD) is the preferred technique worldwide. The aim of study is to analyze the impact of uniform technique of CD for done as primary surgery at an endocrine surgery training centre. PATIENTS AND METHODS: Retrospective review from 1995 to 2009. Data collected from hospital records and follow-up. RESULTS: One thousand and thirty-eight cases were included, with mean age 42.91 ± 13.48 years; male:female – 1:2.2; mean duration of goiter – 99.83 ± 105.1 months; 67.8% were euthyroid and 30.7% – hyperthyroid at initial presentation; 35.5% were malignant. Surgery includes TT alone – 77.7% and TT with lymph nodes dissection – 22.3%; sternotomy required in 1.2% and thoracotomy in 0.1%; tracheomalacia present in 3.9%; however, tracheostomy required in 4.5% and parathyroid autotransplantation in 21%; Peroperative mean gross gland weight was 124.34 ± 129.85 g. Complications include hypocalcemia (temporary – 35.9%; permanent – 1.3%); recurrent laryngeal nerve palsy (temporary – 2.7%; permanent – 91%); hemorrhage – 1.3%; and various others. CONCLUSION: TT with uniform technique of CD is a safe procedure. Certain risk factors may predispose to complications, which can be avoided and managed adequately if anticipated beforehand. |
format | Online Article Text |
id | pubmed-6063184 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-60631842018-08-08 The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India Chand, Gyan Agarwal, Sudhi Mishra, Anjali Agarwal, Gaurav Verma, A. K. Mishra, Saroj Kumar Agarwal, Amit Kumar, Ashok Indian J Endocrinol Metab Original Article BACKGROUND: Total thyroidectomy (TT) with a uniform technique of capsular dissection (CD) is the preferred technique worldwide. The aim of study is to analyze the impact of uniform technique of CD for done as primary surgery at an endocrine surgery training centre. PATIENTS AND METHODS: Retrospective review from 1995 to 2009. Data collected from hospital records and follow-up. RESULTS: One thousand and thirty-eight cases were included, with mean age 42.91 ± 13.48 years; male:female – 1:2.2; mean duration of goiter – 99.83 ± 105.1 months; 67.8% were euthyroid and 30.7% – hyperthyroid at initial presentation; 35.5% were malignant. Surgery includes TT alone – 77.7% and TT with lymph nodes dissection – 22.3%; sternotomy required in 1.2% and thoracotomy in 0.1%; tracheomalacia present in 3.9%; however, tracheostomy required in 4.5% and parathyroid autotransplantation in 21%; Peroperative mean gross gland weight was 124.34 ± 129.85 g. Complications include hypocalcemia (temporary – 35.9%; permanent – 1.3%); recurrent laryngeal nerve palsy (temporary – 2.7%; permanent – 91%); hemorrhage – 1.3%; and various others. CONCLUSION: TT with uniform technique of CD is a safe procedure. Certain risk factors may predispose to complications, which can be avoided and managed adequately if anticipated beforehand. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6063184/ /pubmed/30090728 http://dx.doi.org/10.4103/ijem.IJEM_598_17 Text en Copyright: © 2018 Indian Journal of Endocrinology and Metabolism http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Chand, Gyan Agarwal, Sudhi Mishra, Anjali Agarwal, Gaurav Verma, A. K. Mishra, Saroj Kumar Agarwal, Amit Kumar, Ashok The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India |
title | The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India |
title_full | The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India |
title_fullStr | The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India |
title_full_unstemmed | The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India |
title_short | The Impact of Uniform Capsular Dissection Technique of Total Thyroidectomy on Postoperative Complications: An Experience of More Than 1000 Total Thyroidectomies from an Endocrine Surgery Training Centre in North India |
title_sort | impact of uniform capsular dissection technique of total thyroidectomy on postoperative complications: an experience of more than 1000 total thyroidectomies from an endocrine surgery training centre in north india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6063184/ https://www.ncbi.nlm.nih.gov/pubmed/30090728 http://dx.doi.org/10.4103/ijem.IJEM_598_17 |
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