Concurrent endocrine and other surgical procedures: an institutional experience

Area of Science:

• Endocrinology
• Surgical Oncology
• General Surgery

Background:

• The frequency of endocrine procedures (parathyroidectomy, thyroidectomy, adrenalectomy) is rising.
• Limited research exists on combining these endocrine operations with other surgical interventions.
• Investigating the safety and outcomes of combined procedures is crucial.

Purpose of the Study:

• To assess the impact of concurrent surgical procedures on postoperative outcomes.
• To determine the feasibility and safety of combining endocrine surgeries with other operations.

Main Methods:

• Retrospective review of 104 patients undergoing elective endocrine procedures combined with other surgeries.
• Data collected included demographics, operative details, length of stay, and 30-day outcomes.
• Complications were categorized as endocrine-specific, general, or related to the concurrent procedure.

Main Results:

• 18% of patients experienced complications, with 11% having endocrine-specific issues.
• Endocrine-specific complications included recurrent laryngeal nerve injury (3%), hematoma (2%), wound infection (1%), and transient hypoparathyroidism (2%).
• Less than 5% of all endocrine procedures involved concurrent operations.

Conclusions:

• Concurrent endocrine procedures, ranging from soft tissue to major abdominal, can be performed safely.
• Short-term endocrine-specific complications are manageable, indicating minimal adverse effects on patient outcomes.
• Combining endocrine surgeries with other procedures is a viable option for patient care.