Outcomes of pediatric thyroidectomy: a cross-sectional evaluation. Issue 4 (23rd December 2020)

• Record Type: Journal Article
• Authors: Azari, Sarah; Randolph, Jackson; Shi, Harry; Hoover, Travis; Weaver, Daniel; Mattioni, Jillian; Chennupati, Sri Kiran
• Is Part Of: World journal of pediatric surgery. Volume 3:Issue 4(2020)
• Publication Date: 2020-12-23
• Subjects: otorhinolaryngologic diseases -- pediatrics -- endocrinology; Children -- Surgery -- Periodicals; 617.98
• DOI: 10.1136/wjps-2020-000185
• Languages: English
• ISSNs: 2516-5410

Abstract

Abstract : Introduction: Pediatric thyroidectomy is performed by a variety of surgical specialties. Thyroidectomy can result in a number of complications. Previous studies cite that the most common complications in children are pain and transient hypocalcemia. The purposes of this report are to assess the adverse events of thyroidectomies performed in the pediatric population and to assess the relationship between surgical specialties and postoperative thyroidectomy complications. Methods: We conducted a cross-sectional analysis of cases from January 1, 2014 through November 1, 2015 using the National Surgical Quality Improvement Program database for patients undergoing excision of cyst or adenoma of the thyroid, unilateral thyroid lobectomy, or total thyroidectomy. Results: Of the 344 patients who underwent thyroidectomy, 10 (2.9%) experienced at least one complication. The most common complications were readmission, surgical site infections, and wound disruption. There was a statistically significant association between complication incidence and surgical specialty (p=0.006). Pediatric otolaryngology had a statistically significantly higher number of complications than pediatric surgery (p<0.008). Conclusion: Overall, the incidence of adverse events following pediatric thyroidectomy was low.