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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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Outcomes of pediatric thyroidectomy: a cross-sectional evaluation
Sarah Azari1, Jackson Randolph1, Harry Shi1
1University of South Florida College of Medicine, Tampa, Florida, USA.
World Journal of Pediatric Surgery
|December 7, 2022
Summary
Pediatric thyroidectomy complications are low, but surgical specialty impacts outcomes. Pediatric otolaryngology showed more complications than pediatric surgery, indicating a need for further investigation into surgical techniques and patient safety.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Thyroid Surgery
Background:
- Thyroidectomy in children is performed by various surgical specialties.
- Common pediatric thyroidectomy complications include pain and transient hypocalcemia.
Purpose of the Study:
- To assess adverse events in pediatric thyroidectomy.
- To determine the relationship between surgical specialty and complications.
Main Methods:
- Cross-sectional analysis of 344 pediatric thyroidectomy cases (Jan 2014 - Nov 2015).
- Data sourced from the National Surgical Quality Improvement Program (NSQIP) database.
- Included thyroid cyst/adenoma excision, unilateral lobectomy, and total thyroidectomy.
Main Results:
- Overall complication rate was 2.9% (10/344 patients).
- Most frequent complications: readmission, surgical site infections, wound disruption.
- Significant association between surgical specialty and complications (p=0.006).
- Pediatric otolaryngology had significantly more complications than pediatric surgery (p<0.008).
Conclusions:
- Adverse events following pediatric thyroidectomy are infrequent.
- Surgical specialty is a significant factor in pediatric thyroidectomy outcomes.
