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• W1080214901 abstract "A cirurgia da tiroide está atualmente associada a uma baixa morbilidade e muito baixa mortalidade. Vários estudos têm descrito a importância do volume de cirurgias na obtenção de melhores resultados, uma vez que a uma maior experiência do cirurgião se associam um menor número de complicações. Em 1997 foi criada no Hospital das Forças Armadas (HFAR) uma equipa multidisciplinar para o tratamento da patologia tiroideia. Avaliar 10 anos (2001‐2010) de experiência de cirurgia da tiroide no HFAR. Foram analisados retrospetivamente os processos clínicos dos doentes submetidos a cirurgia da tiroide de 2001‐2010. Foi efetuada uma análise estatística descritiva da informação recolhida. Durante o período estudado foram realizadas 237 cirurgias. A idade média dos doentes incluídos foi de 54,1 ± 14,7 anos e 76% eram do sexo feminino. Quanto aos diagnósticos pré‐operatórios, 83% dos doentes tinham doença nodular da tiroide (13,8% BMN tóxicos e 12,5% BMN mergulhantes), 7% tinham diagnóstico de carcinoma papilar e 6% de tumor folicular; 4% dos doentes tinham doença de Graves recidivada. Das cirurgias realizadas, 42% foram lobectomias e 58% tiroidectomias totais. Verificaram‐se complicações definitivas em 7,5% dos doentes (79% associadas a tiroidectomias totais): lesão do nervo recorrente em 4,6% dos casos e hipoparatiroidismo iatrogénico em 2,9%. A patologia benigna da tiroide constituiu o principal motivo para cirurgia no nosso hospital. A lobectomia, o procedimento de escolha na doença nodular benigna unilateral, associa‐se a um menor número de complicações. O nosso trabalho documenta um número de complicações ligeiramente superiores às descritas pelos grupos de referência na literatura internacional. Não existem, contudo, dados nacionais publicados na literatura indexada. Thyroid surgery is nowadays associated with low morbidity and extremely low mortality. A consistent association has been observed between high surgical volume and better outcomes. Patients who undergo surgery by a skilled surgeon have fewer complications. On the other hand, different surgical techniques have been associated with different outcomes. Since 1997, thyroid diseases are treated in our department by a multidisciplinary team. To access the results of thyroid surgery in our hospital, over the last 10 years. We studied retrospectively the patient's medical files that underwent thyroid surgery from 2001 to 2010. Statistic tests were used to analyse the different variables. A total of 237 patients underwent thyroid surgery over the 10‐year study period. The mean age of the patients was 54.1± 14.7 years and 76% were females. Pre‐operative diagnosis was thyroid nodular disease in 83% (13.8% toxic multinodular goiter and 12.5% substernal goiter), papillary carcinoma in 7% and follicular neoplasm in 6%. 4% of the patients had relapsed Graves’ disease. We performed lobectomy in 42% of cases and total thyroidectomy in 58%. 7.5% of patients had permanent complications (total thyroidectomy 79% and lobectomy 21%). Permanent laryngeal recurrent nerve lesions occurred in 4.6% of patients. Permanent hypoparathyroidism occurred in 2.9% of cases, always associated with total thyroidectomy. Benign thyroid disease is the main surgical diagnostic indication in our hospital. Lobectomy is associated with fewer complications. Our complications rates are slightly higher than international reference centres." @default.
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• W1080214901 date "2016-01-01" @default.
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• W1080214901 title "Avaliação da cirurgia da tiroide num serviço hospitalar: resultados a 10 anos" @default.
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• W1080214901 doi "https://doi.org/10.1016/j.rpedm.2015.05.006" @default.
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