Impact of body mass index on post-thyroidectomy morbidity

被引：19

作者：

Blanchard, Claire ^{[1
]}

Bannani, Sahar ^{[1
]}

Pattou, Francois ^{[2
]}

Brunaud, Laurent ^{[3
]}

Hamy, Antoine ^{[4
]}

Christou, Niki ^{[5
]}

Mathonnet, Muriel ^{[5
]}

Dahan, Marcel ^{[6
]}

Prades, Jean-Michel ^{[7
]}

Landecy, Gerard ^{[8
]}

Dernis, Henri-Pierre ^{[9
]}

Sebag, Frederic ^{[10
]}

Babin, Emmanuel ^{[11
]}

Bizon, Alain ^{[12
]}

Lifante, Jean-Christophe ^{[13
]}

Jegoux, Frank ^{[14
]}

Volteau, Christelle ^{[15
]}

Caillard, Cecile ^{[1
]}

Riche, Valery-Pierre ^{[16
]}

Mirallie, Eric ^{[1
]}

机构：

[1] CHU Nantes, CCDE, F-44093 Nantes 1, France

[2] Univ Lille, CHU Lille, Chirurg Gen & Endocrinienne, Lille, France

[3] CHU Nancy, Hop Brabois, Serv Chirurg Digest Hepatobiliaire & Endocrinienn, Nancy, France

[4] CHU Angers, Chirurg Digest & Endocrinienne, Angers 09, France

[5] CHU Limoges, Hop Dupuytren, Chirurg Digest Gen & Endocrinienne, Limoges, France

[6] CHU Toulouse, Hop Larrey, Chirurg Thorac, Pole Voies Resp, Toulouse 9, France

[7] CHU St Etienne, Hop Nord, ORL & Chirurg Cervicofaciale & Plast, St Etienne 2, France

[8] CHU Besancon, Hop Jean Minjoz, Chirurg Digest, Besancon, France

[9] Ctr Hosp Mans, Serv ORL & Chirurg Cervicofaciale, Le Mans 9, France

[10] Hop La Timone, AP HM, Chirurg Gen, Marseille, France

[11] CHU Caen, ORL & Chirurg Cervicofaciale, Caen 9, France

[12] CHU Angers, ORL & Chirurg Cervicofaciale, Angers 09, France

[13] Ctr Hosp Lyon Sud, Chirurg Gen Endocrinienne Digest & Thorac, Pierre Benite, France

[14] CHU Rennes, Hop Pontchaillou, Serv ORL & Chirurg Maxillofaciale, Rennes 9, France

[15] CHU Nantes, DRCI, Dept Promot, Nantes 1, France

[16] Direct Rech Clin, Dept Partenariats & Innovat, Cellule Innovat, Nantes 1, France

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2019年 / 41卷 / 09期

关键词：

body mass index; obesity; postoperative complications; recurrent laryngeal nerve palsy; total thyroidectomy; COMPLICATIONS; CARCINOMA; MORTALITY; SURGERY; SAFE; BMI;

D O I：

10.1002/hed.25773

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background The impact of obesity on total thyroidectomy (TT) morbidity (recurrent laryngeal nerve palsy and hypocalcaemia) remains largely unknown. Methods In a prospective study (NCT01551914), patients were divided into five groups according to their body mass index (BMI): underweight, normal weight, overweight, obese, and severely obese. Preoperative and postoperative serum calcium was measured. Recurrent laryngeal nerve (RLN) function was evaluated before discharge, and if abnormal, at 6 months. Results In total 1310 patients were included. Baseline characteristics were similar across BMI groups except for age and sex. Postoperative hypocalcaemia was more frequent in underweight compared to obese patients but the difference was not statistically significant in multivariate analysis. There was no difference between groups in terms of definitive hypocalcaemia, transient and definitive RLN palsy, and postoperative pain. Conclusion Obesity does not increase intraoperative and postoperative morbidity of TT, despite a longer duration of the procedure.

引用

页码：2952 / 2959

页数：8

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