Outcomes of sutureless total thyroidectomy in elderly

Tolone, Salvatore; Bondanese, Maria Chiara; Ruggiero, Roberto; Gili, Simona; Pirozzi, Raffaele; Parisi, Simona; Buonomo, Nunziomattia; Napolitano, Vincenzo; Docimo, Ludovico; Docimo, Giovanni

doi:10.1016/j.ijsu.2016.05.056

Cited by 13 publications

(9 citation statements)

References 13 publications

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“…Thyroid diseases are very common among elderly patients (1). The improvement of diagnostic techniques, an easier access to hospital facilities and the increase in average life expectancy have made thyroidectomies more feasible for the geriatric population (2).…”

Section: Introductionmentioning

confidence: 99%

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Thyroidectomy in elderly patients aged ≥70 years

et al. 2017

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Worldwide, the indications for thyroid surgery have been continuously extended among elderly patients in the last 20 years. The balance between treatment indication and surgical risk is certainly an interesting topic for every thyroid surgeon. This paper is a review of recent literature from January 2005 up to April 2017. We analyzed three principal subjects: indications for surgical treatment, medical complications and surgical complications. We can summarize the conclusions of our analysis, stating that age could not be considered as an absolute factor, but in relation to the comorbidities and the general clinical condition of the patient. Special risk indices dedicated to geriatric patients could be very useful in order to facilitate the decision-making process; however, relying on the current knowledge, we could state that there is value in providing surgery to geriatric patients in highly specialized and high-volume centers, where access to technology and its systematic use, coupled with surgeons' experience, could certainly avail the geriatric patient management.

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Section: Introductionmentioning

confidence: 99%

“…Geriatric patients are more often affected by a large burden of metabolic and cardiovascular comorbidities. Nonetheless the use of novel surgical and anesthesiological techniques could reduce the operative time and the incidence of some complications (1).…”

Section: Introductionmentioning

confidence: 99%

Thyroidectomy in elderly patients aged ≥70 years

et al. 2017

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“…It seems that simultaneous increase in both TSH and autoantibodies against the enzyme may indicate subclinical hypothyroidismoriginated overt hypothyroidism. Since elderly subjects are more prone to hypothyroidism with eventual adverse outcomes, it is vital for such patients to be monitored carefully to avoid further complications [2,[45][46][47][48][49][50][51][52][53]. Summary and key points 1.…”

Section: Types Of Thyroid Disordersmentioning

confidence: 99%

Hypothyroidism in Elderly Population: A Review

Saifi¹,

Ahmadi²,

Mansourian³

2017

jcbr

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Many metabolic disorders originate from thyroid disorders, particularly from hypothyroidism. Hypothyroidism commonly occurs in elderly subjects, particularly in women. Subclinical form of hypothyroidism can be diagnosed via laboratory testing. It is crucial to check thyroid hormone profile in elderly subjects. Subclinical hypothyroidism can eventually lead to overt hypothyroidism if left untreated. Treatment of subclinical hypothyroidism could be helpful in preventing the complications of hypothyroidism, particularly among the elderly population. The main aim of this review was to investigate subclinical hypothyroidism among elderly subjects.

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“…The safety of thyroidectomy in the elderly however remains uncertain, with conflicting evidence in the literature. Several single‐institution reviews and larger volume population studies have examined this subject, but the definition of elderly is arbitrary, and is varied across studies—only a few studies examine outcomes in octogenarians specifically . Furthermore, most of these studies were performed several decades ago, and therefore these outcomes may be obsolete given the advancements in perioperative care, appropriate patient selection, anaesthesiology, surgical care, and postoperative care over this period.…”

Section: Introductionmentioning

confidence: 99%

Thyroidectomy in octogenarians is not associated with poorer postoperative outcomes

et al. 2019

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Background The elderly represents one of the most rapidly growing subsets of the population. This population experiences a higher incidence of thyroid pathology. However, there are concerns that the elderly also experiences increased perioperative complications and are poor candidates for thyroidectomy. Methods Patients who underwent thyroidectomy over the age of 80 years at three tertiary head and neck units were included. Data regarding age, sex, presenting symptoms, comorbidities, preoperative investigations, type of surgery, postoperative complications, and final thyroid pathology were retrieved from hospital records. Results Of a total of 39 patients (69% women, mean age 83.1), the majority (40.1%) presented with a combination of symptoms: shortness of breath, feeling of pressure in the neck, dysphagia, or tiredness. Two (5.1%) were asymptomatic. Low rates of postoperative complications were encountered and were minor (n = 5). No intensive care unit admissions or mortality was experienced. Conclusion Thyroid surgery in octogenarians carries an acceptable complication profile.

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Outcomes of sutureless total thyroidectomy in elderly

Cited by 13 publications

References 13 publications

Thyroidectomy in elderly patients aged ≥70 years

Thyroidectomy in elderly patients aged ≥70 years

Hypothyroidism in Elderly Population: A Review

Thyroidectomy in octogenarians is not associated with poorer postoperative outcomes

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