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Thyroidectomy in elderly patients aged ≥70 years.

Davide Inversini1, Andrea Morlacchi1, Giuseppinella Melita2

  • 1ASST Sette Laghi Ospedale di Circolo e Fondazione Macchi, Varese 21100, Italy.

Gland Surgery
|November 17, 2017
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Summary
This summary is machine-generated.

Thyroid surgery indications are expanding for elderly patients. Age alone isn't a barrier; comorbidities and clinical status are key. Specialized centers offer better outcomes for geriatric thyroid surgery patients.

Keywords:
Elderlycomplicationgeriatricthyroid surgerythyroidectomy

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Area of Science:

  • Endocrinology
  • Geriatric Surgery
  • Surgical Oncology

Background:

  • Thyroid surgery indications have expanded for elderly patients over the past two decades.
  • Balancing treatment benefits against surgical risks in geriatric populations is crucial.

Purpose of the Study:

  • To review recent literature on thyroid surgery in elderly patients.
  • To analyze indications, medical complications, and surgical complications in this demographic.

Main Methods:

  • Literature review from January 2005 to April 2017.
  • Analysis focused on surgical indications, medical, and surgical complications in elderly patients undergoing thyroid surgery.

Main Results:

  • Age is not an absolute contraindication for thyroid surgery; comorbidities and overall clinical condition are more significant factors.
  • Geriatric-specific risk indices can aid decision-making.
  • High-volume, specialized centers with advanced technology and experienced surgeons improve outcomes for elderly patients.

Conclusions:

  • Thyroid surgery can be safely and effectively performed in elderly patients.
  • Careful patient selection, considering comorbidities and general health, is essential.
  • Centralization of geriatric thyroid surgery in specialized centers is recommended for optimal management and outcomes.