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Published on: September 20, 2024
565
Thyroid surgery in pediatric patients: causes and results
J Ordóñez Pereira1, L Pérez Egido1, M A García-Casillas1
1Pediatric Surgery Department. Gregorio Marañón University General Hospital. Madrid (Spain).
Summary
Pediatric thyroid surgery is safe and effective, with increased frequency observed. Analysis of 47 cases revealed MEN syndrome as the primary diagnosis, with minimal complications and short hospital stays, highlighting the importance of specialized care.
Area of Science:
- Pediatric Surgery
- Endocrine Surgery
- Oncology
Background:
- Thyroid surgery in children is uncommon but has seen an increase in recent years.
- This study addresses the need to understand the causes and outcomes of pediatric thyroid procedures.
Purpose of the Study:
- To analyze the indications and results of thyroid surgery in a pediatric surgical setting.
- To evaluate the safety and complication profile of these procedures in young patients.
Main Methods:
- A retrospective review of 47 pediatric patients who underwent thyroid surgery between 2000 and 2019.
- Data collected included demographics, diagnoses, surgical procedures, pathological findings, and complications.
Main Results:
- The most common diagnosis was Multiple Endocrine Neoplasia (MEN) syndrome (n=30), followed by thyroid cancers and benign conditions.
- No intraoperative complications or recurrent laryngeal nerve injuries occurred.
- Postoperative complications were limited to transient or persistent hypoparathyroidism in 8 patients, with a mean hospital stay of 1.3 days.
Conclusions:
- Thyroid surgery in pediatric patients is a safe procedure when performed by experienced surgical teams.
- Despite its rarity, the increasing frequency underscores the need for specialized pediatric endocrine surgical expertise.
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