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Outcomes of pediatric thyroidectomy: a cross-sectional evaluation
World Journal of Pediatric Surgery Pub Date : 2020-12-01 , DOI: 10.1136/wjps-2020-000185
Sarah Azari 1 , Jackson Randolph 1 , Harry Shi 1 , Travis Hoover 2 , Daniel Weaver 3 , Jillian Mattioni 4 , Sri Kiran Chennupati 5
Affiliation  

Introduction Pediatric thyroidectomy is performed by a variety of surgical specialties. Thyroidectomy can result in a number of complications. Previous studies cite that the most common complications in children are pain and transient hypocalcemia. The purposes of this report are to assess the adverse events of thyroidectomies performed in the pediatric population and to assess the relationship between surgical specialties and postoperative thyroidectomy complications. Methods We conducted a cross-sectional analysis of cases from January 1, 2014 through November 1, 2015 using the National Surgical Quality Improvement Program database for patients undergoing excision of cyst or adenoma of the thyroid, unilateral thyroid lobectomy, or total thyroidectomy. Results Of the 344 patients who underwent thyroidectomy, 10 (2.9%) experienced at least one complication. The most common complications were readmission, surgical site infections, and wound disruption. There was a statistically significant association between complication incidence and surgical specialty (p=0.006). Pediatric otolaryngology had a statistically significantly higher number of complications than pediatric surgery (p<0.008). Conclusion Overall, the incidence of adverse events following pediatric thyroidectomy was low.

中文翻译:

小儿甲状腺切除术的结果:横断面评估

简介 小儿甲状腺切除术由多种外科专科进行。甲状腺切除术会导致许多并发症。先前的研究指出,儿童最常见的并发症是疼痛和短暂性低钙血症。本报告的目的是评估在儿科人群中进行甲状腺切除术的不良事件,并评估外科专业与甲状腺切除术后并发症之间的关系。方法 我们使用国家外科质量改进计划数据库对 2014 年 1 月 1 日至 2015 年 11 月 1 日期间接受甲状腺囊肿或腺瘤切除术、单侧甲状腺叶切除术或甲状腺全切除术的患者进行了病例横断面分析。结果 在接受甲状腺切除术的 344 名患者中,10 (2. 9%) 经历过至少一种并发症。最常见的并发症是再入院、手术部位感染和伤口破裂。并发症发生率与外科专业之间存在统计学显着相关性 (p=0.006)。小儿耳鼻喉科的并发症数量明显高于小儿外科手术 (p<0.008)。结论 总体而言,小儿甲状腺切除术后不良事件的发生率较低。
更新日期:2020-12-01
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