Surgical management of thyroid disorders experience in Chomtong Hospital

Abstract

               Purpose: To show that thyroidectomy in Chomtong Hospita can be performed safely with low complication (CP) rate and to analyze risk factor for CP and length of hospital stay (LOS) Patient and method: A retrospective study was conducted on 110 cases, June 2002 to February 2007. Age, sex, symptom, mass morphology, weight of excised specimen (WT), pathology, type of surgery(Sx), operative time, estimate blood loss (EBL) were analyzed as risk factor for CP and LOS. Result: Complication (CP) were presented by 13 patients (12%) corresponding to 7 case of hypothyroidism, 5 case of hypoparathyroidism (HPTH) 2 case of surgical wound infection, 1 case of recurrent laryngeal nerve (RLN) injury, and 1 tracheo-exophageal fistula (TE fistula). The variables associated with the presence of these CP were hyperthyroidism (p=0.004), Sx(p=0.002), mass morphology (p=0.001), WT>110 gm (p=0.01) and operative time (p<0.001), EBL (p=0.001) (Mass morphology was main risk factor) The variables associated with increase LOS were operative time, hyperthyroidism, Sx, mass morphology and WT>110 gm (p<0.001) (WT>110 gm) and hyperthyroidism were main risk factor) Conclusion: In our surgical unit, thyroidectomy case be performance with low complication rate, the and main risk factor for development of CP was the mass morphology and the main risk factor of increased LOS were the type surgery and the WT>110 gm.