medigraphic.com
ISSN 1561-2945 (Print)

2021, Number 4

<< Back Next >>

Revista Cubana de Cirugía 2021; 60 (4)

Experience of eight years performing thyroidectomies at ''Dr. Enrique Cabrera Cossío'' general teaching hospital

Sardiñas PR, Guerra LOA

Language: Spanish
References: 16
Page: 1-12
PDF size: 424.82 Kb.


ABSTRACT

Introduction: Thyroid diseases are relatively frequent and can be benign or malignant. The algorithm for the diagnosis of thyroid nodules is mainly aimed at defining the presence or absence of a carcinoma in the gland. Surgical treatment can include conventional, partial or total, as well as minimally invasive, techniques.
Objective: To describe the outcomes of surgical treatment for thyroid diseases at Enrique Cabrera General Teaching Hospital between 2013 and 2020.
Methods: An ambispective and descriptive study was carried out, between January 1, 2013 and December 31, 2020, in the aforementioned center. The universe was made up of all patients with thyroid diseases treated surgically. The sample consisted of 96 patients.
Results: The mean age was 48.1 years. The female sex predominated (83.3%). The most frequent diagnosis was goiter with compressive symptoms (39.6%), followed by thyroid carcinoma (25%); among the latter, the most observed was papillary carcinoma (66.6%). Total thyroidectomy was performed in 40.6%, with few postoperative complications (7.3%), recurrent paralysis being the most frequent of them.
Conclusions: The surgical treatment for thyroid diseases at Dr. Enrique Cabrera General Teaching Hospital had good outcomes, both in benign diseases and in thyroid cancer.


REFERENCES

  1. Siderova M. Thyroid Cancer: Diagnosis, Treatment and Follow-Up. In: Thyroid disorders. IntechOpen. European Union, 2018. DOI: http://dx.doi.org/10.5772/intechopen.77163

  2. Collado JC, Vázquez JM, Cassola R, Guerra JM, Paredes D, Danta D, et al. Diagnóstico precoz y manejo del Cáncer Tiroideo. Protocolos de actuación. La Habana; 2010.

  3. Ministerio de Salud Pública. Anuario Estadístico de Salud. Dirección Nacional de Registros Médicos. La Habana: MINSAP. 2016 [acceso 20/01/2021]. Disponible en: http://www.bvscuba.sld.cu/2017/11/20/anuario-estadistico-de-salud-de-cuba/

  4. Ministerio de Salud Pública. Anuario Estadístico de Salud. Dirección Nacional de Registros Médicos La Habana: MINSAP. 2019 [acceso 20/01/2021]. Disponible en: http://www.bvscuba.sld.cu/2017/11/20/anuario-estadistico-de-salud-de-cuba/

  5. Navarro DA. Enfermedades del tiroides en Cuba. Reva Cub. Endocrinología. 2012;23(3):198-202. [acceso 20/01/2021]. Disponible en: http://www.revcirugia.sld.cu/

  6. González R, Llapur A, Pérez D. Cirugía conservadora y tiroidectomía total en el cáncer tiroideo bien diferenciado. Rev. Cub. Cirugía. 2017 [acceso 20/01/2021];56(4). Disponible en: http://www.revcirugia.sld.cu/

  7. Coorough NE, Schneider DF, Woll Rosen M, Sippel RS. A Survey of Preferences Regarding Surgical Approach to Thyroid Surgery. World J Surg. 2014 [acceso 20/01/2021];38(3):696-703. Disponible en: https://link.springer.com/article/10.1007/s00268-013-2405-y

  8. Mesa O, Valdés LM, Barrios D, Matos YA, Travieso G. Comportamiento quirúrgico de las patologías del tiroides. Rev. Cub. Cirugía. 2020 [acceso 20/01/2021];59(1). Disponible en: http://www.revcirugia.sld.cu/

  9. Brito G, Guerra JL, Cassola JR. Cáncer diferenciado de tiroides y tiroiditis de Hashimoto en el Instituto Nacional de Oncología y Radiobiología (2006-2010). Rev. Cub. Cirugía. 2015 [acceso 20/01/2021];54(3). Disponible en: http://www.revcirugia.sld.cu/

  10. Al-Hakami H, Al-Mohammadi R, Al-Mutairi R, Al-Subaie H, Al Garni M. McGill Thyroid Nodule Score in Differentiating Thyroid Nodules in Total Thyroidectomy Cases of Indeterminate Nodules. Indian Journal of Surgical Oncology. 2020;11(2):268-73. DOI: https://doi.org/10.1007/s13193-020-01053-2

  11. Dorimain PC, Rodríguez Z, Rodríguez LP, Falcón GC, Mustelier HL. Diagnóstico y tratamiento quirúrgico de pacientes con afecciones nodulares de tiroides. MEDISAN. 2013 [acceso 20/01/2021];17(11):8031. Disponible en: http://www.revcirugia.sld.cu/

  12. Parmeggiani D, Gambardella C, Patrone R, Polistena A, De Falco M, Ruggiero R, et al. Radioguided thyroidectomy for follicular tumors: Multicentric Experience. International Journal of Surgery. 2017 [acceso 20/01/2021];41:S75eS81. Disponible en: http://www.journal-surgery.net/

  13. Almquist M, Muth A. Surgical management of cytologically indeterminate thyroid nodules. Gland Surg. 2019;8(Suppl2):S105-11. DOI: http://dx.doi.org/10.21037/gs.2019.01.03

  14. Díaz Mesa J, Taquechel F, Queral R, Domínguez J. Diagnóstico y tratamiento quirúrgico del cáncer de tiroides en el Centro de Investigaciones Médico-Quirúrgicas (CIMEQ). Rev. Cub. Cirugía. 2007 [acceso 20/01/2021];46. Disponible en: http://www.revcirugia.sld.cu/

  15. Sosa G, Ernand S. Complicaciones derivadas de la tiroidectomía en el Hospital Universitario "General Calixto García". Rev. Cub. Cirugía. 2016 [acceso 20/01/2021];55(4). Disponible en: http://www.revcirugia.sld.cu/

  16. Xu B, Reznik E, Tuttle RM, Knauf J, Fagin JA, Katabi N, et.al. Outcome and molecular characteristics of non-invasive encapsulated follicular variant of papillary thyroid carcinoma with oncocytic features. Endocrine. 2019;64(1):97-108. DOI:10.1007/s12020-019-01848-6.




2020     |     www.medigraphic.com