Intrathoracic goitre: A literatura review

Quevedo, Karol de Aguiar; Cerón-Navarro, José; Jordá-Aragón, Carlos; Pastor-Martínez, Enrique; Sales-Badía, Jesús G.; García-Zarza, A.; Pastor-Guillén, Juan

doi:10.1016/s2173-5077(10)70017-x

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…In addition, hypocalcemia leads to a longer hospital stay, extra medication, laboratory tests and outpatient visits, which are associated with increase in health costs. Several risk factors including old age, female sex, experience of the surgeon, identification of a greater numbers of parathyroid glands, presence of thyroiditis, surgery for intrathoracic or large goiter, hyperthyroidism (Graves' disease), cancer, central lymphadenectomy, reinterventions have been documented for the development of postoperative hypocalcemia (11)(12)(13)(14). In our study, age, gender, hyperthyroidism, malignancy and central compartment dissection were not found to be statistically associated with the development of postoperative hypocalcemia.…”

Section: Discussioncontrasting

confidence: 53%

Is there a Relationship between Vitamin D Status and Hypocalcemia after Total Thyroidectomy?

et al. 2016

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context. Vitamin D plays a crucial role in calcium metabolism through parathormone-dependent process. Deficiency of this important nutrient may be associated with hypocalcemia after thyroidectomy.objective. To evaluate the role of vitamin D in predicting hypocalcemia following total thyroidectomy. subjects and methods. One hundred and fifty patients who underwent total thyroidectomy for benign or malignant thyroid disease were included in this prospective study. The association between preoperative vitamin D status and the development of hypocalcemia were investigated.results. Biochemical and symptomatic hypocalcemia were found in 28 (18.7%) and 22 (14.7%) patients, respectively. Preoperative vit D level was found significantly lower in patients with biochemical (p = 0.006) and clinical (p < 0.001) hypocalcemia in comparison to normocalcemic patients. The patients who had <10 ng/mL vit D level (severe deficiency) developed significantly more biochemical and clinical hypocalcemia than the patients with serum vit D level higher than 10 ng/mL (p = 0.030 and p < 0.001, respectively). conclusions.Although postthyroidectomy hypocalcemia is multifactorial, vit D deficiency, particularly severe form, is significantly associated with the development of biochemical and clinical hypocalcemia. Vit D supplementation can prevent this unwanted complication in such patients.

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Section: Discussioncontrasting

confidence: 53%

Is there a Relationship between Vitamin D Status and Hypocalcemia after Total Thyroidectomy?

et al. 2016

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“…En aproximadamente el 50 % de los casos la histología del bocio corresponde a un bocio multinodular (8). Con respecto al manejo quirúrgico, la cervicotomía es la vía de abordaje más común, siendo en el 90 % de los casos suficiente para lograr la resección completa del bocio y requiriendo en el 10 % restante otros abordajes ya sean aislados o en combinación con la cervicotomía (1,9).…”

Section: Discussionunclassified

Bocio del mediastino posterior - abordaje mínimamente invasivo: videotoracoscopia derecha más cervicotomía

Rodríguez-Ramos¹,

Acevedo-Mejía²,

González³

et al. 2016

CES Med

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La cirugía es el manejo recomendado para el bocio intratorácico y cerca de un 90 % de ellos pueden resecarse mediante cervicotomía. El bocio en el mediastino posterior ha sido manejado satisfactoriamente empleando diversos abordajes cervicotorácicos, existiendo poca información en la literatura acerca del uso de la videotoracoscopia como parte de estas técnicas combinadas. Presentamos el caso de un paciente con un bocio intratorácico con extensión a mediastino posterior, en quien, dadas las características de la masa y su localización, sumado a las ventajas ampliamente conocidas de la cirugía mínimamente invasiva, se decide remplazar la toracotomía y la esternotomía por la videotoracoscopia, permitiendo una buena exposición y disección segura del mediastino. Consideramos que la videotoracoscopia es una técnica segura y efectiva en casos seleccionados de pacientes con bocio con extensión a mediastino posterior.

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“…Su crecimiento cervical se extiende caudalmente favorecido por la gravedad, la presión negativa intratorácica y el espacio ofrecido por el mediastino. El arco aórtico y los vasos subclavios ofrecen un obstáculo mayor a izquierda, por lo tanto, su crecimiento es más frecuente hacia derecha [2][3][4] . Aparece con mayor frecuencia en el mediastino anterior y funcionalmente la mayoría de los pacientes son eutiroídeos.…”

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Bocio Gigante Cérvico-Torácico

P²,

2014

Rev Chil Cir

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Intrathoracic goitre: A literatura review

Cited by 8 publications

References 19 publications

Is there a Relationship between Vitamin D Status and Hypocalcemia after Total Thyroidectomy?

Is there a Relationship between Vitamin D Status and Hypocalcemia after Total Thyroidectomy?

Bocio del mediastino posterior - abordaje mínimamente invasivo: videotoracoscopia derecha más cervicotomía

Bocio Gigante Cérvico-Torácico

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