Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American College of Surgeons National Surgical Quality Improvement Project database analysis - 08/12/20
Abstract |
Background |
Recurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose of this study is to determine the predictors and consequences of RLN injury during thyroidectomy.
Methods |
A retrospective analysis was conducted using the ACS-NSQIP 2016–2017 main and thyroidectomy targeted procedure databases. Data was analyzed by multivariate logistic regression resulting in risk-adjusted odds ratios of RLN injury and morbidity/mortality.
Results |
Age ≥65, black race, neoplastic indication, total or subtotal thyroidectomy, concurrent neck surgery, operation time > median, hypoalbuminemia, and anemia were associated with RLN injury. Use of intraoperative nerve monitoring was associated with decreased RLN injuries. RLN injury is a risk factor for overall morbidity, hypocalcemia, hematoma, pulmonary morbidity, readmission, reoperation, and length of stay > median.
Conclusion |
Several predictors of RLN injury during thyroidectomy are identified, while use of intraoperative nerve monitoring was associated with a decreased risk of RLN injury. RLN injury is associated increased postoperative complications.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Research Highlights: |
• | Several patient variables were identified as risk factors for RLN injury. |
• | Intraoperative nerve monitoring is notably associated with decreased RLN injury. |
• | RLN injury is associated with increased rates of multiple postoperative complications. |
Keywords : Thyroid, Surgery, Nerve, Injury
Plan
Vol 221 - N° 1
P. 122-126 - janvier 2021 Retour au numéro
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