Jon P Ver Halen
Baptist Cancer Center, Department of Surgery, St. Jude Children’s Research Hospital; Department of Surgical Oncology,
Vanderbilt-Ingram Cancer Center 3268 Duke Circle, Germantown, Tennessee
Tanzania
Research Article
Surgical Risk after Unilateral Lobectomy versus Total Thyroidectomy: A Review of 47,434 Patients
Author(s): Charles Du Qin, Sujata Saha, Ryan Meacham, Sandeep Samant, Jon P Ver Halen and John YS KimCharles Du Qin, Sujata Saha, Ryan Meacham, Sandeep Samant, Jon P Ver Halen and John YS Kim
Background: We reviewed the 2005-2012 ACS-NSQIP Databases to evaluate factors associated with adverse events (AE) after unilateral thyroid lobectomy (UL) and total thyroidectomy (TT).
Methods: All unilateral lobectomies and total thyroidectomies performed from 2005 to 2012 were identified for analysis. The cohort was characterized with respect to preoperative and demographic characteristics, complications, reoperation, and mortality.
Results: 47,434 patients were identified, of which 17,584 underwent unilateral lobectomy and 29,850 underwent total thyroidectomy. On multivariable regression analysis, UL was associated with a 2.786 greater risk of returning to the OR, and a 1.377 risk of surgical complications. The increased risk of return to the OR was eliminated when controlling for patients returning to the OR for.. View More»