کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4280853 | 1611579 | 2008 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Does intraoperative radioguided surgery influence the complication rates and completeness of completion thyroidectomy? Does intraoperative radioguided surgery influence the complication rates and completeness of completion thyroidectomy?](/preview/png/4280853.png)
BackgroundTo investigate whether radioguided surgery (RGS) has any beneficial effects on the complication rates and the completeness of completion thyroidectomy (CT) in a center experienced in endocrine surgery.MethodsThirty-three patients scheduled for CT for thyroid carcinoma were randomly selected for 2 types of intervention. CT was performed by RGS following administration of 5 mCi technetium-99m in 15 patients (group 1) and with conventional surgical exploration without RGS in 18 patients (group 2). The duration of the CT, thyroid function tests, iodine-131 uptake at 24 hours at the third postoperative week, and complication rates were compared between groups 1 and 2.ResultsIn groups 1 and 2, the duration of CT (63.3 ± 7.5 vs 65 ± 10.8 minutes, P = .7), postoperative serum thyrotropin-stimulating hormone (TSH) levels (43.9 ± 17.5 mIU/L vs 36.8 ± 8.6 mIU/L, P = .2), postoperative 131I uptake at 24 hours (6.86 ± 1.7 vs 7.0 ± 1.3, P = .8), and complication rates (13.3% vs 5.6%, P = .6) showed no significant differences.ConclusionRGS during CT offers no benefit over conventional surgical exploration with respect to operation time, complication rates, or completeness of surgery in a center experienced in endocrine surgery. However, it might be helpful for general surgeons who are less familiar with re-operative thyroid surgery.
Journal: The American Journal of Surgery - Volume 196, Issue 1, July 2008, Pages 40–46