Predictive factors for longer operative times for thyroidectomy

Hee Yong Kwak, Gianlorenzo Dionigi, Xiaoli Liu, Hui Sun, Sang Uk Woo, Gil Soo Son, Jae Bok Lee, Jeoung Won Bae, Hoon Yub Kim

    Research output: Contribution to journalArticlepeer-review

    5 Citations (Scopus)

    Abstract

    Background/Objective Conventional open thyroidectomy is considered as a safe surgery nowadays. However, surgeons sometimes encounter unexpected difficulty when performing thyroidectomies. The aim of this paper was to identify the predictors of a difficult thyroidectomy for the management of patients with papillary thyroid carcinoma. Methods A database of patients who underwent open conventional thyroidectomy with cervical lymph node dissection after diagnosed papillary thyroid carcinoma between July 2008 and June 2013 was examined. In addition, the patients were subgrouped by difficult thyroidectomy (DT) and nondifficult thyroidectomy to determine the predictors of DT according to operation time. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities were investigated. Results No between-group differences in clinicopathologic factors and postoperative complications, except for male sex (p < 0.001) and tumor size (p = 0.039), were noted. Male sex [odds ratio (OR) 4.158, 95% confidence interval (CI) 2.020–8.559, p = 0.043] and age < 45 years (OR 2.239, 95% CI 1.304–3.843, p = 0.003) were independent factors associated with DT in a multivariate logistic regression model. Elevated antithyroglobulin antibody (OR 1.004, 95% CI 1.000–1.008, p = 0.030) was a variable which is statistically significant, but not clinically significant. Discussion Young age and male sex might be regarded as predictors of DT. Expecting DT before surgery might help surgeons, especially beginners, prevent troublesome situations.

    Original languageEnglish
    Pages (from-to)139-144
    Number of pages6
    JournalAsian Journal of Surgery
    Volume40
    Issue number2
    DOIs
    Publication statusPublished - 2017 Apr 1

    Keywords

    • antithyroglobulin antibody
    • difficulty
    • thyroidectomy

    ASJC Scopus subject areas

    • Surgery

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