Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightConclusion: In recent years, thyroid surgery, which has been performed frequently by the ear-nose-throat specialists, is a surgery in which the pre-operative evaluation is of great concern, and may lead to significant problems by means of complications.
📌 3 Maddede Bu Makale
Abstract
Introduction: The aim of this study was to retrospectively evaluate the pre- and post-operative findings, the procedures performed and the complications in patients undergoing thyroid surgery. Methods: The files of 135 patients, who had undergone thyroid surgery in the Ear-Nose-Throat Clinic of Dicle University Medical Faculty between January 2008 and January 2016 were retrospectively investigated, and the age, gender and the complaints of the patients, examinations and surgical procedures performed, pathological diagnoses, complications and the duration of follow-up of the patients were recorded. Results: Among the 135 patients, 101 were female (74.8%) and 34 were male (25.2%). The mean age was 43.3±12.3 (range: 7-84) years. Nodules detected on the ultrasonography were single in 39 patients (28.9%) and multiple in 96 patients (71.1%). The most frequently detected nodules on the USG examination were nodules with mixed echogenicity (42.2%) and hypo echoic solid nodules (40.0%), whereas micro-calcification was detected in 20.7% of the patients. The procedures performed were total thyroidectomy in 79 patients, lobectomy+isthmusectomy in 34, completion thyroidectomy in 5, total thyroidectomy+neck dissection in 14, and completion thyroidectomy+neck dissection in 3. The histopathological examination results for the specimens were benign in 95 (70.4%) and malignant in 40 (29.6%). The most common post-operative complication was temporary hypocalcaemia (18 patients; 13.3%). Statistical analysis showed that the presence of micro-calcification and hypo echoic nodule significantly increased the risk of malignancy. Conclusion: In recent years, thyroid surgery, which has been performed frequently by the ear-nose-throat specialists, is a surgery in which the pre-operative evaluation is of great concern, and may lead to significant problems by means of complications.