Total thyroidectomy for multinodular goiter in the elderly - 18/08/11
: F.R.C.S., F.A.C.S.
Corresponding author. Tel.: +852-2-855-4773; fax: +852-2-817-2291.Abstract |
Background |
Total thyroidectomy for multinodular goiter (MNG) is increasingly being performed for the elderly population and yet their perioperative and long-term outcomes remain unclear.
Methods |
A total of 279 patients who underwent total thyroidectomy for MNG in a university-based hospital during a 9-year period were analyzed according to their age at the time of operation.
Results |
The duration of operation (P = .023), intraoperative blood loss (P = .030), weight of resected thyroid glands (P < .001) and proportion of retrosternal goiter (P < .001) were significantly greater in the elderly group (≥70 years) (n = 55), but the incidence of surgically related complications, including recurrent laryngeal nerve palsy and hypoparathyroidism, was similar. Postoperative pneumonia occurred more frequently in the elderly group (P = .034). The number of comorbidities tended to correlate with the length of hospital stay and long-term survival in elderly patients.
Conclusions |
Total thyroidectomy for MNG in elderly patients had a similar perioperative outcome as their younger counterparts, but their long-term outcome is likely to be influenced by the number of comorbidities.
Le texte complet de cet article est disponible en PDF.Keywords : Elderly, Morbidity, Multinodular goiter, Survival, Total thyroidectomy
Plan
Vol 190 - N° 3
P. 418-423 - septembre 2005 Retour au numéro
Article précédent
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