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Related Experiment Video

Updated: Jul 25, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Thyroid surgery in the elderly: a surgical cohort.

Fien Van den Eynde1,2, Klaas Van Den Heede3, Nele Brusselaers4,5,6

  • 1Group of Biomedical Sciences, University Hospital Leuven, Herestraat 49, 3000, Louvain, Belgium. fien.vandeneynde@hotmail.com.

Langenbeck'S Archives of Surgery
|June 29, 2023
PubMed
Summary

Thyroid surgery is safe for patients 75 and older, with similar morbidity to younger groups. However, increased bleeding risk means ambulatory surgery is not recommended for the elderly.

Keywords:
BleedingElderlyHypocalcaemiaRecurrent laryngeal nerve palsySurgical outcomeThyroid surgery

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Geriatric Surgery

Background:

  • Rising thyroid surgery demand in elderly due to aging population and increased imaging.
  • Limited data on surgical outcomes in elderly patients.
  • Essential to evaluate safety of short-stay thyroid surgery for older adults.

Purpose of the Study:

  • Compare thyroid surgery outcomes across different age groups.
  • Assess safety and morbidity of thyroid surgery in elderly patients (75+).
  • Evaluate the feasibility of ambulatory surgery for elderly thyroid patients.

Main Methods:

  • Retrospective analysis of 2,030 thyroid surgery patients (Jan 2010-Jul 2021).
  • Categorized patients into three age groups: young (18-64), older (65-74), and elderly (75+).
  • Assessed indications for surgery, surgical morbidity (hypocalcemia, bleeding, RLN palsy), and hospital stay length.

Main Results:

  • Elderly patients had different primary indications: multinodular goiter (70.2%) and thyroid cancer (9.9%).
  • Higher reintervention rates for bleeding in older (4.6%) and elderly (2.5%) groups compared to young (1.4%).
  • No significant differences in hypocalcemia or recurrent laryngeal nerve palsy rates; elderly had longer hospital stays (43.5% >1 day).

Conclusions:

  • Thyroid surgery is safe for patients aged 75 and older, with comparable morbidity to younger patients.
  • Increased risk of reintervention for bleeding in the elderly necessitates caution.
  • Ambulatory surgery is not advisable for elderly patients undergoing thyroid procedures due to bleeding risks.