Pneumothorax in a post-anesthetic care unit after right thyroidectomy with left neck dissection -A case report-

Lee, Sang Jun; Lee, Dongjun; Kim, Mun-Cheol; Im, Ui-Jae

doi:10.4097/kjae.2010.59.6.429

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…The morbidities of hypoparathyroidism and RLN injury in this study were lower than the literatures (permanent hypoparathyroidism:3.5–6.3%; permanent RLN injury: 1.3–3.6%) [9–12]. In the study, 0.39% (4/1031) patients exhibited pleura rupture (which was recognized during surgery and repaired), which is relatively higher than the literatures [13, 14]. The reason may be that there are more patients compared to the literatures undergoing dissections of lymph nodes posterior to the right recurrent laryngeal nerve.…”

Section: Resultscontrasting

confidence: 52%

Clinical analysis of cervical lymph node metastasis risk factors in patients with papillary thyroid microcarcinoma

Luo

Zhao

Chen

et al. 2018

J Endocrinol Invest

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Purpose Lymph node metastasis (LNM) is a vital prognosis factor in patients with papillary thyroid microcarcinoma (PTMC). The study tried to identify clinicopathological factors for LNM of PTMC. Methods The clinicopathological data of 1031 patients with PTMC were extracted and analyzed. Univariate and multivariate analyses were used to identify risk factors associated with cervical lymph node metastasis. ROC analysis was used to determine the ideal critical points of the sum of the maximum diameter of multifocal in a unilateral lobe. Results The probability of LNM, central lymph node metastasis (CLNM) and lateral lymph node metastasis(LLNM)of PTMC patients were 35.6, 33.7 and 5.6%, respectively. In addition, 1.9% PTMC had LLNM only. Male, age ≤ 40 years, tumor largest diameter ≥ 5 mm, multifocal, non-uniform echoic distribution, the sum of the maximum diameter of multifocal in a unilateral lobe ≥ 8.5 mm, tumors in the lower pole location were prone to CLNM. Ultrasound mix-echo, the sum of the maximum diameter of the multifocal ≥ 10.75 mm, tumors in the upper pole location were extremely prone to LLNM. T3 were prone to LLNM or skip LLNM. Conclusions According to the clinicopathological characteristics of PTMC, the cervical lymph nodes should be correctly evaluated to guide the surgical treatment.

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Section: Resultscontrasting

confidence: 52%

Clinical analysis of cervical lymph node metastasis risk factors in patients with papillary thyroid microcarcinoma

Luo

Zhao

Chen

et al. 2018

J Endocrinol Invest

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“…Notable technique‐specific complications included two TOETVA conversions to TCA for hemostasis, a case of pneumothorax in the TOETVA cohort, and five cases of permanent mental nerve injury. While pneumothorax has been described with open thyroidectomy, this is an unusual complication that we do not fully understand in this otherwise uncomplicated procedure [39].…”

Section: Discussionmentioning

confidence: 99%

Transoral Thyroidectomy: Safety and Outcomes of 200 Consecutive North American Cases

et al. 2020

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Background North American adoption of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) has been limited due to concerns regarding the generalizability of published outcomes, as data are predominantly from Asian cohorts with a different body habitus. We describe our experience with TOETVA in a North American population in the context of the conventional transcervical approach thyroidectomy (TCA). Study design Cases of TOETVA and TCA were reviewed from August 2017 to March 2020 at a tertiary care center. Outcomes included operative time, major (permanent recurrent laryngeal nerve (RLN) injury, permanent hypoparathyroidism, hematoma, conversion to open surgery), and minor complications. The TOETVA cohort was stratified into body mass index (BMI) classes of underweight/normal < 25 kg/m2, overweight 25–29.9 kg/m2, and obese ≥ 30 kg/m2 for comparative analysis. Multivariable logistic regression analyses were performed for odds of cumulative complication. Results Two hundred TOETVA and 333 TCA cases were included. There was no difference in incidence of major complications between the TOETVA and TCA cohorts (1.5% vs. 2.1%, p = 0.75). No difference was found in the rate of temporary RLN injury (4.5% vs. 2.1%, p = 0.124) or temporary hypoparathyroidism (18.2% vs. 12.5%, p = 0.163) for TOETVA and TCA, respectively. Surgical technique (TOETVA vs TCA) did not alter the odds of cumulative complication (OR 0.69 95% CI [0.26–1.85]) on logistic regression analysis. In the TOETVA cohort, higher BMI did not lead to a significantly greater odds of cumulative complication, 0.52 (95% CI [0.17–1.58]) and 1.69 (95% CI [0.74–3.88]) for the overweight and obese groups, respectively. Conclusion TOETVA can be performed in a North American patient population without a difference in odds of complication compared to TCA. Higher BMI is not associated with greater likelihood of complication with TOETVA.

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The Occurrence and Management of Pneumothorax in Thyroid Surgery

2012

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Pneumothorax in a post-anesthetic care unit after right thyroidectomy with left neck dissection -A case report-

Cited by 7 publications

References 13 publications

Clinical analysis of cervical lymph node metastasis risk factors in patients with papillary thyroid microcarcinoma

Clinical analysis of cervical lymph node metastasis risk factors in patients with papillary thyroid microcarcinoma

Transoral Thyroidectomy: Safety and Outcomes of 200 Consecutive North American Cases

The Occurrence and Management of Pneumothorax in Thyroid Surgery

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