Impact of frailty on inpatient outcomes in thyroid cancer surgery: 10-year results from the U.S. national inpatient sample

Abstract Objective. To investigate the application of carbon nanoparticles in lymph node dissection and parathyroid gland protection during thyroid cancer surgery. Subjects and Methods. Retrospective analysis was performed on 282 cases of thyroid cancer surgery in our hospital from 2018 to 2019. All patients underwent total thyroidectomy and cervical central lymph node dissection. Nanocarbon was not used in the control group, but was used in the experimental group. The general situation of the patients, the number of postoperative lymph nodes and the number of metastasis were collected, and the differences between serum parathyroid hormone and blood calcium were compared before and on the 3rd and 30th day after surgery. Results. There was no difference in age, sex and TNM stage between the two groups (P > 0.05). The number of metastatic lymph nodes in the experimental group (9.80 ± 4.80) was different from that in the control group (6.95 ± 3.86) (P < 0.05), and the number of metastatic lymph nodes in the experimental group was different from that in the control group (χ2 = 14.968, P < 0.05). There was no difference in blood calcium and PTH between the two groups before and at 3 and 30 days after surgery (P > 0. 05). Conclusion. The application of carbon nanoparticles in thyroid cancer surgery can significantly increase the number of lymph nodes seized and the positive rate of metastatic lymph node removal, but the protection of parathyroid gland is not obvious.

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Centralization trends in thyroid cancer surgery

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2011.06.269 ◽

2011 ◽

Vol 213 (3) ◽

pp. S114

Author(s):

Justin J. Baker ◽

Michael O. Meyers ◽

Benjamin F. Calvo ◽

Jen Jen Yeh ◽

Karyn B. Stitzenberg

Keyword(s):

Thyroid Cancer ◽

Cancer Surgery

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Incidence of Hypoparathyroidism After Thyroid Cancer Surgery in South Korea, 2007-2016

JAMA ◽

10.1001/jama.2019.19641 ◽

2019 ◽

Vol 322 (24) ◽

pp. 2441 ◽

Cited By ~ 2

Author(s):

Song Vogue Ahn ◽

Joon-Hyop Lee ◽

Erin Allana Bove-Fenderson ◽

So Young Park ◽

Michael Mannstadt ◽

...

Keyword(s):

Thyroid Cancer ◽

South Korea ◽

Cancer Surgery

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Short-Term Outcomes after Unilateral versus Complete Thyroidectomy for Malignancy: A National Perspective

The American Surgeon ◽

10.1177/000313480907500104 ◽

2009 ◽

Vol 75 (1) ◽

pp. 20-24 ◽

Cited By ~ 6

Author(s):

Marc Zerey ◽

Ajita S. Prabhu ◽

William L. Newcomb ◽

Amy E. Lincourt ◽

Kent W. Kercher ◽

...

Keyword(s):

Thyroid Cancer ◽

Length Of Stay ◽

Differentiated Thyroid Cancer ◽

Operative Management ◽

National Inpatient Sample ◽

Short Term ◽

Thyroid Lobectomy ◽

Well Differentiated ◽

National Perspective ◽

Total Charges

The extent of thyroidectomy for well-differentiated thyroid cancer (WDTC) remains controversial. We compared outcomes of patients undergoing unilateral thyroid lobectomy (UTL) versus complete thyroidectomy (CT) to determine the best operative management of WDTC. We compared outcomes of patients who underwent UTL or CT for malignancy using the 1999 to 2003 editions of the National Inpatient Sample database. A total of 13,854 patients underwent UTL (n = 4,238) and CT (n = 9,616). The CT group was more likely to have complications than the UTL group (15% vs 6%, P < 0.0001). Mean total charges were higher in the CT group ($11,432) versus the UTL group ($9,739), as was LOS (2 days versus 1 day); P < 0.0001. Complete thyroidectomy is associated with increased morbidity, total charges, and length of stay. The higher risk of short-term complications should be considered when considering performing a complete thyroidectomy for WDTC.

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