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Related Experiment Videos

Total thyroidectomy for multinodular goiter in the elderly.

Brian Hung-Hin Lang1, Chung-Yau Lo

  • 1Division of Endocrine Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong SAR, China.

American Journal of Surgery
|August 18, 2005
PubMed
Summary

Total thyroidectomy for multinodular goiter (MNG) in elderly patients shows similar perioperative risks to younger patients. However, comorbidities significantly impact long-term survival in this age group.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Geriatric Medicine

Background:

  • Total thyroidectomy for multinodular goiter (MNG) is increasingly common in elderly patients.
  • Perioperative and long-term outcomes for this demographic are not well-defined.

Purpose of the Study:

  • To evaluate the perioperative and long-term outcomes of total thyroidectomy for MNG in elderly patients.
  • To compare outcomes between elderly and younger patient groups.

Main Methods:

  • Retrospective analysis of 279 patients undergoing total thyroidectomy for MNG over 9 years.
  • Patients categorized by age (elderly group >=70 years).

Main Results:

  • Elderly patients had longer operation times, greater blood loss, larger resected thyroid weights, and higher rates of retrosternal goiter.

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  • Similar rates of surgically related complications (nerve palsy, hypoparathyroidism) were observed.
  • Postoperative pneumonia was more frequent in the elderly; comorbidities correlated with hospital stay and survival.

    • Conclusions:

    • Total thyroidectomy for MNG in elderly patients yields comparable perioperative outcomes to younger patients.
    • Long-term outcomes in elderly patients are significantly influenced by the presence of comorbidities.