Schilddrüsenchirurgie im Alter View Full Text


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Article Info

DATE

2001-11

AUTHORS

Ch. Passler, R. Avanessian, K. Kaczirek, G. Prager, Ch. Scheuba, M. Schindl, B. Niederle

ABSTRACT

Background: Although „age“ itself is no contraindication for „major surgical procedures“ only few patients ≥ 75 years are sent for surgery by their private physisians.Methods: 55 out of 727 patients (7.6%; 47 females, 8 males) with thyroid diseases operated on between 1995 and 1999 were 75 years or older (Mean age: 79.9 ± 4.1 years; median: 78 years). The indication for operation, pre-, peri- and postoperative course, morbidity and mortality of surgery and the postoperative clinical course were analysed retrospectively.Results: Malignancy was suspected in 30 patients (54.5%), 25 patients (45.5%) with symptoms of tracheal and/or esophageal compression were operated on because of large bilateral nodular goitres (delayed emergency: 54; emergency: 1; total thyreoidectomy: 37; with partial sternotomy: n = 3; near total thyreoidectomy: 3; Hemithyreoidectomy: 7; subtotal bilateral resection: 5; Extirpation of a malignant local recurrence: 3; Benign nodular goitre: 35; malignant goitre: 20 — percentage of anaplastic thyroid cancer: 33.3%). 45 patients (81.8%) suffered from one or more additional diseases.In two patients permanent surgically related complications were documented postoperatively (unilateral paralysis of the recurrent laryngeal nerve: 1; hypoparathyroidism: 1; total morbidity: 3.6%). No patient died postoperatively. The mediane postoperative follow-up period was 44 months. The estimated cumulative 5 years survival of patients with benign histology was 65.2% ± 11.6%, with malignant histology 55.0% ± 12.6%, respectively.Conclusions: Thyroid surgery in the elderly (≥ 75 years) can be performed with low mortality and acceptable morbidity. The guarantee for the success are an individual risk analysis and a careful preoperative medical preparation (high rate of additional diseases) combined with the possibility of intensive care postoperatively. More... »

PAGES

288-292

References to SciGraph publications

  • 1996. Gibt es Spezifika im operativen Vorgehen für die geriatrische Chirurgie? in WAHRUNG DES BESTANDES, WANDEL UND FORTSCHRITT DER CHIRURGIE
  • 1986-05. Complications associated with anaesthesiaa — prospective survey in France in JOURNAL CANADIEN D'ANESTHÉSIE
  • 1996-07. Risikofaktoren, präoperative liegezeiten und mortalität bei gerontochirurgischen eingriffen in LANGENBECK'S ARCHIVES OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf02948101

    DOI

    http://dx.doi.org/10.1007/bf02948101

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1085157062


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