Complications of Thyroid Cancer Surgery in Pediatric Patients at a Tertiary Cancer Center

Scholfield, Daniel W.; Lopez, Joseph; Badillo, Natalie Deana; Eagan, Alana; Levyn, Helena; LaQuaglia, Michael; Shaha, Ashok R.; Shah, Jatin P.; Wong, Richard J.; Patel, Snehal G.; Ganly, Ian

doi:10.1245/s10434-023-14079-x

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Age, cancer type, type of surgery, reoperation, central neck dissection or lateral neck dissection are not significant reasons for these complications. On the contrary, Scholfield et al showed that N stage and central neck dissection were independent factors for HP and RLN injury ( 5 , 10 ). Aggressive dissection of the central compartment is a risk factor of RLN injury and permanent hypoparathyroidism, or sporadic hemorrhage and readmission to the operation room ( 23 , 43 ).…”

Section: Discussionmentioning

confidence: 99%

Thyroidectomy in children and adolescents: a systematic review

Vouchara,

Chorti,

Tzikos

et al. 2024

Gland Surg

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Background Thyroid surgery in pediatric population is not as common as that in adults, although they share the same indications, techniques and complications. This review aims to evaluate the surgical management of thyroid disease in patients under 18 years old. Methods We conducted a bibliographic search in the international literature. Data from the identified studies such as demographics, indication for surgery, type of procedure, complications and length of hospital stay were recorded. A retrospective review study of all patients under 18 years old who underwent thyroidectomy was performed. Results We included 37 retrospective studies and a total of 12,728 patients. Thyroidectomy was more common in female patients and the mean age was approximately 14 years old. The leading indication for surgery was benign thyroid pathology. Due to the surgical treatments’ safety and effectiveness in young patients, total and subtotal thyroidectomy, whether for malignancies or benign diseases, is becoming more popular today. The most often occurring complication of pediatric thyroid surgery is hypoparathyroidism. Despite the high likelihood of recurrence of pediatric malignancies, overall survival rates of pediatric thyroid cancer are excellent. Conclusions Thyroidectomy performed by high-volume thyroid surgeons in children and adolescents is considered an efficient and safe method of treatment of thyroid disease.

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