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[PMID]: | 28501106 |
[Au] Autor: | Morris R; Yen TWF; Doffek K; Carr AA; Wilson SD; Evans DB; Wang TS |
[Ad] Endereço: | Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin Milwaukee, WI. |
[Ti] Título: | Concurrent endocrine and other surgical procedures: an institutional experience. |
[So] Source: | J Surg Res;211:107-113, 2017 May 01. | [Is] ISSN: | 1095-8673 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | INRODUCTION: The number of endocrine procedures, specifically parathyroidectomy, thyroidectomy, and adrenalectomy, being performed is increasing. There is a paucity of literature on the feasibility of combining these procedures with other surgical procedures. Therefore, the aim of this study was to determine the effect of performing concurrent surgical procedures on postoperative outcomes. METHODS: This is a single institution retrospective review of multiple prospectively maintained databases of patients who underwent elective thyroidectomy, parathyroidectomy, and/or adrenalectomy in combination with another procedure. The other procedures included soft tissue, breast or hernia, abdominal major, abdominal minor, cervical, and "other". Demographics, operative details, length-of-stay, and 30-d outcomes were reviewed. "Endocrine-specific" complications included recurrent laryngeal nerve injury, hypoparathyroidism, cervical wound infection, hematoma, and other. RESULTS: The cohort comprised 104 patients. Overall, 19 (18%) patients had 21 complications, including endocrine-specific complications in eleven (11%) patients. These eleven complications included recurrent laryngeal nerve injury (n = 3; 3%), hematoma (n = 2; 2%), wound infection (n = 1; 1%), transient hypoparathyroidism (n = 2; 2%), and other (n = 3; 3%). The remaining complications included three (3%) general complications, six (6%) patients with complications related to the concurrent procedure, and one patient who underwent an open adrenalectomy and hysterectomy and developed a midline wound dehiscence, which could not be specifically attributed to either procedure. CONCLUSIONS: Less than 5% of patients undergoing a surgical endocrine procedure underwent a concurrent procedure, ranging from soft tissue to major abdominal. Short-term endocrine-specific complications were managed safely, suggesting that concurrent procedures can be considered, with minimal effect on patient outcomes. |
[Mh] Termos MeSH primário: |
Procedimentos Cirúrgicos Endócrinos Complicações Pós-Operatórias/etiologia
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[Mh] Termos MeSH secundário: |
Adulto Idoso Idoso de 80 Anos ou mais Bases de Dados Factuais Estudos de Viabilidade Feminino Seres Humanos Tempo de Internação/estatística & dados numéricos Masculino Meia-Idade Avaliação de Resultados (Cuidados de Saúde) Readmissão do Paciente/estatística & dados numéricos Complicações Pós-Operatórias/epidemiologia Estudos Retrospectivos Fatores de Risco
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; OBSERVATIONAL STUDY |
[Em] Mês de entrada: | 1709 |
[Cu] Atualização por classe: | 170901 |
[Lr] Data última revisão:
| 170901 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170515 |
[St] Status: | MEDLINE |
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