Surgical outcomes of thyroidectomy patients: Single-center experience

Authors : Samet Şahin, Cenk Yazkan, Özcan Dere, Önder Özcan

Pages : 30-35

View : 40 | Download : 35

Publication Date : 2024-07-01

Article Type : Research Paper

Abstract :Thyroid cancer incidence has been on the rise globally, attributed to advancements in detection technologies. Surgical outcomes and complications of thyroidectomy remain debated, with varying evidence on the safety and timing of completion of thyroidectomy. This study aims to retrospectively evaluate thyroidectomy patients at a regional reference clinic, comparing outcomes with existing literature. A retrospective analysis of 471 thyroidectomy patients (2012-2022) included demographic data, preoperative assessments, and postoperative complications. Data were analyzed using SPSS. Patients with malignancy pathology results were compared with benign cases. Exclusions included those under 18 and reoperated cases. Females predominated (81.5%), aligning with global trends. Malignant cases had higher rates of AUS-FLUS and follicular neoplasia on FNAB. Postoperative T4 values were significantly higher in benign cases, while TSH values were lower. Vocal cord paralysis occurred in 10.8%, with nerve monitoring reducing permanent damage post-2018. Demographic findings mirrored global trends, emphasizing the female predominance in seeking thyroidectomy. FNAB effectively predicted malignancy, supporting accurate preoperative assessments. Postoperative thyroid and laboratory values varied between benign and malignant groups, with nerve monitoring reducing permanent damage rates. Thyroidectomy, a common procedure for thyroid diseases, requires meticulous planning to minimize complications. FNAB results, laboratory values, and nerve monitoring significantly influence outcomes. This study contributes a comprehensive overview of thyroidectomy outcomes, emphasizing the need for careful preoperative assessments and the integration of advanced technologies. The findings prompt further research for a more nuanced understanding of thyroidectomy outcomes.
Keywords : tiroidektomi, rekürren laringeal sinir monitörizasyonu, tiroid kanseri