Surgical treatment of thyroid diseases in elderly patients

被引：37
|
作者：
Raffaelli, Marco [1 ]
Bellantone, Rocco [1 ]
Princi, Pietro [2 ]
De Crea, Carmela [1 ]
Rossi, Esther D. [3 ]
Fadda, Guido [3 ]
Lombardi, Celestino P. [1 ]
机构：
[1] Univ Cattolica Sacro Cuore, Dept Surg, Div Endocrine Surg, I-00168 Rome, Italy
[2] Univ Cattolica Sacro Cuore, Dept Oncol, Div Surg Oncol, Campobasso, Italy
[3] Univ Cattolica Sacro Cuore, Inst Pathol, I-00168 Rome, Italy
来源：
AMERICAN JOURNAL OF SURGERY | 2010年 / 200卷 / 04期
关键词：
Elderly patients; Thyroid surgery; Thyroidectomy; Geriatric surgery; Thyroid cancer; Toxic goiter; NODULAR GOITER; GRAVES-DISEASE; SURGERY; CANCER; MANAGEMENT; HYPERTHYROIDISM; THYROTOXICOSIS; MORTALITY; RISK; AGE;
D O I：
10.1016/j.amjsurg.2009.12.020
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BACKGROUND: We evaluated the safety of thyroid surgery in elderly patients, in whom surgical procedures usually are considered more hazardous than in younger patients. METHODS: The medical records of all the patients who were aged 70 years or older who had undergone thyroid surgery between January 1998 and June 2008 were reviewed. RESULTS: A total of 320 patients were included. The preoperative diagnosis was multinodular goiter in 171 cases, toxic goiter in 59 cases, suspicious or indeterminate thyroid nodule in 60 cases, and thyroid carcinoma in 30 patients. Total thyroidectomy was performed in 283 patients, thyroid lobectomy in 15 patients, and a completion thyroidectomy was performed in 22 patients. The final histology showed thyroid cancer in 86 patients and benign disease in 234. CONCLUSIONS: Thyroid surgery in patients aged 70 years or older is safe and the relatively high rate of thyroid carcinoma and toxic goiter may justify an aggressive approach. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码：467 / 472
页数：6
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