Araştırma Makalesi
BibTex RIS Kaynak Göster

Yıl 2019, Cilt: 2 Sayı: 2, 53 - 60, 31.08.2019

Hakan Yabanoğlu

Öz

Kaynakça

  • 1.Tuggle CT, Roman S, Udelsman R, Sosa JA. Same-day thyroidectomy: a review of practice patterns and outcomes for 1,168 procedures in New York State. Ann Surg Oncol. 2011;18(4):1035–40. https://doi.org/10.1245/s10434-010-1398-0
  • 2. Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States, 1996-2006. Thyroid. 2013;23(6):727–33. https://doi.org/10.1089/thy.2012.0218
  • 3. British Association of Endocrine and Thyroid Surgeons. Fourth National Audit Report. Henley-on-Thames: Dendrite Clinical Systems. 2012.
  • 4. Balentine CJ, Sippel RS. Outpatient Thyroidectomy: Is it Safe? Surg Oncol Clin N Am. 2016 Jan;25(1):61-75. https://doi.org/10.1016/j.soc.2015.08.003
  • 5. Segel JM, Duke WS, White JR, Waller JL, Terris Det al. Outpatient thyroid surgery: Safety of an optimized protocol in more than 1,000 patients. Surgery. 2016;159(2):518-23. https://doi.org/10.1016/j.surg.2015.08.007
  • 6. Perera AH, Patel SD, Law NW. Thyroid surgery as a 23-hour stay procedure. Ann R Coll Surg Engl. 2014;96(4):284-8. https://doi.org/10.1308/003588414X13814021679997
  • 7. Steckler RM. Outpatient thyroidectomy: a feasibility study. Am J Surg. 1986;152:417-9. https://doi.org/10.1016/0002-9610(86)90315-6
  • 8. Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. Laryngoscope. 2010 May;120(5):959-63. https://doi.org/10.1002/lary.20866.
  • 9. Terris DJ, Snyder S, Carneiro-Pla D, et al. American Thyroid Association Surgical Affairs Committee Writing Task Force. American Thyroid Association Statement on Outpatient Thyroidectomy. Thyroid. 2013;23:1193-202. https://doi.org/10.1089/thy.2013.0049
  • 10. Burkey SH, van Heerden JA, Thompson GB, et al. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914–20. https://doi.org/10.1067/msy.2001.118384
  • 11. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg. 2012;36:2497-502. https://doi.org/10.1002/lary.20866 12. Doran H, England J, Palazzo F. BAETS Consensus Statement 2011: Day Case Thyroidectomy. London: BAETS; 2011. 13. Doran HE, Palazzo F. Day-case thyroid surgery. Br J Surg. 2012;99:741–3. https://doi.org/10.1002/bjs.8756
  • 14. Pothier DD. The use of drains following thyroid and parathyroid surgery: a metaanalysis. J Laryngol Otol. 2005;119:669–71. https://doi.org/10.1258/0022215054798023 15. Pappalardo G, Guadalaxara A, Frattaroli FM, et al. Total compared with subtotal thyroidectomy in benign nodular disease: personal series and review of published reports. Eur J Surg. 1998;164:501–6. https://doi.org/10.1080/110241598750005840 16. Chow TL, Choi CY, Chiu AN. Postoperative PTH monitoring of hypocalcemia expedites discharge after thyroidectomy. Am J Otolaryngol. 2014;35:736-40. https://doi.org/10.1016/j.amjoto.2014.07.006
  • 17. Puzziello A, Rosato L, Innaro N, et al. Hypocalcemia following thyroid surgery: incidence and risk factors. A longitudinal multicenter studycomprising 2,631 patients. Endocrine. 2014;47:537-42. https://doi.org/10.1007/s12020-014-0209-y
  • 18. Carr AA, Yen TW, Fareau GG, et al. A single parathyroid hormone level obtained 4 hours after total thyroidectomy predicts the needfor postoperative calcium supplementation. J Am Coll Surg. 2014;219:757-64. https://doi.org/10.1016/j.jamcollsurg.2014.06.003
  • 19. McHenry CR, Speroff T, Wentworth D, et al. Risk factors for postthyroidectomy hypocalcemia. Surgery. 1994;116:641–7.
  • 20. Snyder SK, Hamid KS, Roberson CR et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. J Am Coll Surg. 2010; 210:575-84. https://doi.org/10.1016/j.jamcollsurg.2009.12.037
  • 21. Al-Qurayshi Z, Srivastav S, Kandil E. Comparison of inpatient and outpatient thyroidectomy: Demographic and economic disparities. Eur J Surg Oncol. 2016;42(7):1002-8. https://doi.org/10.1016/j.ejso.2016.03.010

23 Saatlik/Günübirlik Hastanede Kalış Süresi ile Yapılan Tiroidektomi Vakalarımız ve Klinik Sonuçlarımız

Yıl 2019, Cilt: 2 Sayı: 2, 53 - 60, 31.08.2019

Hakan Yabanoğlu

Öz

Giriş:

Tiroidektomi
ameliyatları ayaktan veya kısa süreli hastane yatışı ile giderek artan
oranlarda uygulanmaya başlanmıştır. Yatarak tedavi edilen hastalar ile
karşılaştırıldığında bu uygulamaların daha uygun maliyette olduğu ve yatarak
tedavi edilen hastalar ile benzer oranlarda komplikasyon oranlarına sahip
oldukları gösterilmiştir. Bu çalışmada 23 saatlik/günübirlik hastane yatışı ile
tedavi edilen hastalarımızın klinik sonuçlarını sunmayı amaçladık. 

Gereç ve Yöntemler:

Merkezimizde Ocak 2018
ve Şubat 2019 tarihleri arasında aynı cerrah tarafından toplam 157 hastaya total
tiroidektomi, hemitiroidektomi ve tamamlayıcı tiroidektomi uygulandı.  Boyun diseksiyonu uygulanan 8 hasta ve
ameliyat sonrası erken dönemde komplikasyon (trakea yaralanmasına bağlı cilt
altı amfizem ve miyokard enfaktüsü) görülen 2 hasta çalışma dışı bırakıldı. 147
hastanın dosyaları geriye dönük olarak incelendi. 

Sonuç:

Hastaların 125 (%85)
kadın, 22 (%15) erkek ve ortalama yaş 45 (19-88) idi. Ameliyat öncesi ince iğne
aspirasyon biyopsisi yapılan hastaların 44 (%29.9)' de foliküler neoplazi, 13
(%8.8)' de malignite, 5 (%3.4)' de benign sitoloji, 5 (%3.4)' de hurtle hücreli
neoplazi ön tanısı vardı. 55 (%37.4) hastaya biyopsi yapılmadı, 25 (%17)
hastada ise yetersiz sitoloji mevcuttu. Bu hastaların 126 (%85)' na total
tiroidektomi, 12 (%8.2)' ne tek taraflı tiroidektomi ve 9 (%6.1)' na
tamamlayıcı tiroidektomi uygulandı.  141
(%95.9) hastaya sinir nöromonitörizasyonu, 130 (%88.4) hastaya dren uygulandı.
Ortalama ameliyat süresi 62 (35-87) dakika idi. Ameliyat sonrası 10 (%6.8)
hastada geçici, 2 (%1.4) hastada kalıcı hipokalsemi, 2 (%1.4) hastada kalıcı, 1
(%0.7) hastada geçici recürren sinir hasarı oldu. Bir (%0.7) hastada erken
dönemde kanama oldu ve ameliyathanede hemostaz sağlandı. Ameliyat sonrası 1.
hafta poliklinik kontrolünde 3 (%2) hastada seroma görüldü. Ameliyat sonrası
patolojik tanıya bakıldığında 85 (%57.8) hastada malignite görüldü. 42 (%28.6)
hastaya radyoaktif iyot tedavisi uygulandı.

Tartışma:

Tiroidektomi kısa
süreli hastane yatışı ile güvenli ve düşük komplikasyon oranlarıyla
uygulanabilmektedir.  


Anahtar Kelimeler

Tiroidektomi Hipokalsemi Kanama

Kaynakça

  • 1.Tuggle CT, Roman S, Udelsman R, Sosa JA. Same-day thyroidectomy: a review of practice patterns and outcomes for 1,168 procedures in New York State. Ann Surg Oncol. 2011;18(4):1035–40. https://doi.org/10.1245/s10434-010-1398-0
  • 2. Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States, 1996-2006. Thyroid. 2013;23(6):727–33. https://doi.org/10.1089/thy.2012.0218
  • 3. British Association of Endocrine and Thyroid Surgeons. Fourth National Audit Report. Henley-on-Thames: Dendrite Clinical Systems. 2012.
  • 4. Balentine CJ, Sippel RS. Outpatient Thyroidectomy: Is it Safe? Surg Oncol Clin N Am. 2016 Jan;25(1):61-75. https://doi.org/10.1016/j.soc.2015.08.003
  • 5. Segel JM, Duke WS, White JR, Waller JL, Terris Det al. Outpatient thyroid surgery: Safety of an optimized protocol in more than 1,000 patients. Surgery. 2016;159(2):518-23. https://doi.org/10.1016/j.surg.2015.08.007
  • 6. Perera AH, Patel SD, Law NW. Thyroid surgery as a 23-hour stay procedure. Ann R Coll Surg Engl. 2014;96(4):284-8. https://doi.org/10.1308/003588414X13814021679997
  • 7. Steckler RM. Outpatient thyroidectomy: a feasibility study. Am J Surg. 1986;152:417-9. https://doi.org/10.1016/0002-9610(86)90315-6
  • 8. Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. Laryngoscope. 2010 May;120(5):959-63. https://doi.org/10.1002/lary.20866.
  • 9. Terris DJ, Snyder S, Carneiro-Pla D, et al. American Thyroid Association Surgical Affairs Committee Writing Task Force. American Thyroid Association Statement on Outpatient Thyroidectomy. Thyroid. 2013;23:1193-202. https://doi.org/10.1089/thy.2013.0049
  • 10. Burkey SH, van Heerden JA, Thompson GB, et al. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914–20. https://doi.org/10.1067/msy.2001.118384
  • 11. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg. 2012;36:2497-502. https://doi.org/10.1002/lary.20866 12. Doran H, England J, Palazzo F. BAETS Consensus Statement 2011: Day Case Thyroidectomy. London: BAETS; 2011. 13. Doran HE, Palazzo F. Day-case thyroid surgery. Br J Surg. 2012;99:741–3. https://doi.org/10.1002/bjs.8756
  • 14. Pothier DD. The use of drains following thyroid and parathyroid surgery: a metaanalysis. J Laryngol Otol. 2005;119:669–71. https://doi.org/10.1258/0022215054798023 15. Pappalardo G, Guadalaxara A, Frattaroli FM, et al. Total compared with subtotal thyroidectomy in benign nodular disease: personal series and review of published reports. Eur J Surg. 1998;164:501–6. https://doi.org/10.1080/110241598750005840 16. Chow TL, Choi CY, Chiu AN. Postoperative PTH monitoring of hypocalcemia expedites discharge after thyroidectomy. Am J Otolaryngol. 2014;35:736-40. https://doi.org/10.1016/j.amjoto.2014.07.006
  • 17. Puzziello A, Rosato L, Innaro N, et al. Hypocalcemia following thyroid surgery: incidence and risk factors. A longitudinal multicenter studycomprising 2,631 patients. Endocrine. 2014;47:537-42. https://doi.org/10.1007/s12020-014-0209-y
  • 18. Carr AA, Yen TW, Fareau GG, et al. A single parathyroid hormone level obtained 4 hours after total thyroidectomy predicts the needfor postoperative calcium supplementation. J Am Coll Surg. 2014;219:757-64. https://doi.org/10.1016/j.jamcollsurg.2014.06.003
  • 19. McHenry CR, Speroff T, Wentworth D, et al. Risk factors for postthyroidectomy hypocalcemia. Surgery. 1994;116:641–7.
  • 20. Snyder SK, Hamid KS, Roberson CR et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. J Am Coll Surg. 2010; 210:575-84. https://doi.org/10.1016/j.jamcollsurg.2009.12.037
  • 21. Al-Qurayshi Z, Srivastav S, Kandil E. Comparison of inpatient and outpatient thyroidectomy: Demographic and economic disparities. Eur J Surg Oncol. 2016;42(7):1002-8. https://doi.org/10.1016/j.ejso.2016.03.010
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi
Bölüm Makaleler
Yazarlar

Hakan Yabanoğlu 0000-0002-1161-3369

Yayımlanma Tarihi 31 Ağustos 2019
Kabul Tarihi 19 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 2

Kaynak Göster

APA Yabanoğlu, H. (2019). 23 Saatlik/Günübirlik Hastanede Kalış Süresi ile Yapılan Tiroidektomi Vakalarımız ve Klinik Sonuçlarımız. Journal of Cukurova Anesthesia and Surgical Sciences, 2(2), 53-60.
 Kapak Resmi İndir

download

You are free to:
Share — copy and redistribute the material in any medium or format The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms: Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. NonCommercial — You may not use the material for commercial purposes. NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.