Thyroidectomy in patients with a high BMI: a safe surgery?

被引：31

作者：

Finel, J. B. ^{[1
]}

Mucci, S. ^{[1
]}

Branger, F. ^{[1
]}

Venara, A. ^{[1
]}

Lenaoures, P. ^{[1
]}

Rodien, P. ^{[2
]}

Hamy, A. ^{[1
]}

机构：

[1] Ctr Hosp Univ, Dept Chirurg Viscerale & Endocrinienne, Angers, France

[2] Ctr Hosp Univ, Dept Endocrinol, Angers, France

来源：

EUROPEAN JOURNAL OF ENDOCRINOLOGY | 2014年 / 171卷 / 01期

关键词：

BODY-MASS INDEX; HYPOCALCEMIA; COMPLICATIONS; OUTCOMES; OBESITY;

D O I：

10.1530/EJE-14-0063

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To study and compare the specific postoperative complications of thyroidectomy in a population with a BMI >= 25 with a population having a BMI below 25. Design: A prospective study was carried out from September 2010 to January 2013. Methods: Postoperative calcemia, laryngeal mobility, bleeding or infectious complications, postoperative hospital stay, and operation time were studied and compared statistically by a chi(2)-test or Student's t-test. Results: A total of 240 patients underwent total thyroidectomy and 126 underwent a partial thyroidectomy. Of them, 168 patients had a BMI below 25 and 198 patients had a BMI >= 25. There was no statistically significant difference in the occurrence of early or permanent hypoparathyroidism, recurrent laryngeal nerve palsy, bleeding complications, or postoperative duration of hospital stay. There was, however, a significant operative time in patients with a BMI >= 25. Conclusion: Despite the longer operative time, thyroidectomy (total or partial) can be performed safely in patients with a BMI >= 25.

引用

页码：99 / 105

页数：7

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