A prospective study on surgical-site infections in thyroid operation

Bures, Claudia; Klatte, Tobias; Gilhofer, Monika; Behnke, Michael; Breier, A.-C.; Neuhold, N.; Hermann, Michael

doi:10.1016/j.surg.2013.12.002

Cited by 32 publications

(35 citation statements)

References 20 publications

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“…In a previous investigation, Bures et al [1] found that the duration of operation was an independent risk factor for SSI in thyroid surgery. The duration of operation was, however, not significant in the multivariable analysis in the present investigation.…”

Section: Discussionmentioning

confidence: 99%

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A Nested Case–Control Study on the Risk of Surgical Site Infection After Thyroid Surgery

et al. 2018

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IntroductionIt is unclear if antibiotic prophylaxis reduces the risk of surgical site infection (SSI) in thyroid surgery. This study assessed risk factors for SSI and antibiotic prophylaxis in subgroups of patients.Method and designA nested case–control study on patients registered in the Swedish National Register for Endocrine Surgery was performed. Patients with SSI were matched 1:1 by age and gender to controls. Additional information on patients with SSI and controls was queried from attending surgeons using a questionnaire. Risk factors for SSI were evaluated by logistic regression analysis and presented as odds ratio (OR) with 95% confidence interval (CI).ResultsThere were 9494 operations; 109 (1.2%) patients had SSI. Patients with SSI were older (median 53 vs. 49 years) than patients without SSI p = 0.01 and more often had a cancer diagnosis 23 (21.1%) versus 1137 (12.1%) p = 0.01. In the analysis of patients with SSI versus controls, patients with SSI more often had post-operative drainage 68 (62.4%) versus 46 (42.2%) p = 0.01 and lymph node surgery 40 (36.7%) versus 14 (13.0%) p < 0.01, and both were independent risk factors for SSI, drain OR 1.82 (CI 1.04–3.18) and lymph node dissection, OR 3.22 (95% CI 1.32–7.82). A higher number of 26(62%) patients with independent risk factors for SSI and diagnosed with SSI did not receive antibiotic prophylaxis. Data were missing for 8 (31%) patients.ConclusionLymph node dissection and drain are independent risk factors for SSI after thyroidectomy. Antibiotic prophylaxis might be considered in patients with these risk factors.

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Section: Discussionmentioning

confidence: 99%

“…In studies published during the last two decades, prolonged operation time, use of drains, reoperation due to bleeding and concomitant lymph node dissection have been reported as risk factors for SSI in thyroid surgery [1, 4, 10, 11]. …”

Section: Introductionmentioning

confidence: 99%

A Nested Case–Control Study on the Risk of Surgical Site Infection After Thyroid Surgery

et al. 2018

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“…However, the RT implies: -a significantly increased operative time (mean difference=56 minutes), which is known to be a risk factor of surgical-site infections in the thyroid surgery [14], -a significantly longer mean hospital stay, according to a metaanalysis by Lang et al [7], -an increased global cost ($13,087 vs. $9,028) related to the consumables, the maintenance, the duration of the hospital stay and of the operating room occupation [2,15]. Some unusual risks of the RT must be quoted [16]: flap perforation (0.1%), paresthesia and fibrosis along the flap, brachial plexus traction injury (0.1%), great vessels injury at the thoracic outlet (0.03%), tracheal (0.2%) or carotid injury (0.03%), more frequent due to the absence of force feedback, or even disturbance of the interpretation of future mammograms [17].…”

Section: Discussionmentioning

confidence: 99%

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Chabrillac¹,

Zerdoud²,

Graff-Cailleaud³

et al. 2017

Thyroid Disorders Ther

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Background: The Robotic Thyroidectomy (RT) is a minimally invasive surgical technique initially developed in Asia, for cultural reasons. The principles of its use are still undergoing development. Showing to all appearances satisfying outcomes, the long-time safety and medico-economic benefit of the procedure have not been established yet. The use of this technique in thyroid carcinology remains rare, and provides specific risks, not encountered with the Open Thyroidectomy (OT).

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“…Details of data collection and processing have been described previously. [20][21][22][23] The 1,391 patients with PMC form the principal study cohort.…”

Section: Methodsmentioning

confidence: 99%

Increase of papillary thyroid microcarcinoma and a plea for restrictive treatment: A retrospective study of 1,391 prospective documented patients

Gschwandtner

Klatte

Swietek

et al. 2016

Surgery

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A prospective study on surgical-site infections in thyroid operation

Cited by 32 publications

References 20 publications

A Nested Case–Control Study on the Risk of Surgical Site Infection After Thyroid Surgery

A Nested Case–Control Study on the Risk of Surgical Site Infection After Thyroid Surgery

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Increase of papillary thyroid microcarcinoma and a plea for restrictive treatment: A retrospective study of 1,391 prospective documented patients

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