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Thyroid surgery in the elderly.

T S Reeve, L Delbridge, P Crummer

    Annals of the Academy of Medicine, Singapore
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Elderly patients can safely undergo thyroid surgery, including thyroidectomy, with low complication rates. Age is a key factor in thyroid cancer survival, but surgical intervention is feasible when pre-operative risks are managed.

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    Area of Science:

    • Geriatric Surgery
    • Endocrinology
    • Surgical Oncology

    Background:

    • Thyroid disease is prevalent in older adults.
    • Fear of age-related risks often leads to avoidance of necessary thyroid surgery.
    • Delayed surgery can result in emergency procedures under suboptimal conditions.

    Purpose of the Study:

    • To evaluate the safety and outcomes of thyroidectomy in patients over sixty.
    • To assess complication rates and survival in elderly patients undergoing thyroid surgery.
    • To determine the prognostic significance of age in thyroid cancer survival.

    Main Methods:

    • Retrospective analysis of 575 patients aged over sixty who underwent thyroidectomy between 1970 and 1985.
    • Categorization of procedures into total thyroid lobectomy and total thyroidectomy.

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  • Analysis of complication rates, including surgical complications and those related to comorbidities.

    • Main Results:

    • Thyroidectomy in patients over sixty demonstrated acceptably low complication rates (1.2% for surgical complications).
    • Common procedures included total thyroid lobectomy (185) and total thyroidectomy (86), with 41% benign and 59% malignant pathology.
    • Age was identified as the primary prognostic factor for survival in thyroid malignancy.

    Conclusions:

    • Thyroid surgery in elderly patients is associated with low morbidity and mortality when specific risks are addressed pre-operatively.
    • Appropriate surgical management of thyroid disease in the elderly is safe and effective.
    • Age should not be a deterrent for essential thyroid surgical procedures.