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Related Experiment Videos

[Should we operate goiter in the elderly?].

S Cichoń1, M Barczyński, R Anielski

  • 1Klinika Chirurgii Endokrynologicznej, III Katedry Chirurgii Ogólnej CM UJ, 31-202 Kraków, ul. Pradnicka 37.

Przeglad Lekarski
|October 18, 2001
PubMed
Summary

Elderly patients undergoing goitre surgery face higher risks of malignant tumors and recurrent laryngeal nerve injuries. However, surgical treatment for goitre in the elderly is safe and justified, especially with early intervention for suspected cancers.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Geriatrics

Context:

  • Goitre (enlarged thyroid gland) affects a significant patient population.
  • Surgical intervention is a common treatment for various goitre types.
  • Limited data exists on comparative outcomes for elderly patients undergoing goitre surgery.

Purpose:

  • To compare elderly patients (≥70 years) with younger patients undergoing goitre surgery.
  • To analyze differences in goitre type, surgical extent, and postoperative outcomes.
  • To assess early postoperative complications and perioperative mortality in elderly goitre patients.

Summary:

  • A retrospective study analyzed 5872 goitre patients (1984-1998), with 278 aged ≥70.
  • Elderly patients showed a higher incidence of malignant goitre (19.9% vs 5.5%), particularly anaplastic cancers and lymphomas.

Related Experiment Videos

  • Giant and substernal goitres were more common in the elderly, who experienced higher surgical complication rates, notably recurrent laryngeal nerve injuries (4.67% vs 1.14%).

    • Impact:

    • Goitre surgery in the elderly is safe and justified, despite increased risks.
    • The higher prevalence of malignancy in elderly goitre patients necessitates early surgical consideration.
    • Findings support timely surgical intervention to improve outcomes for elderly patients with goitre.