Does Surgical Volume Influence the Need for Second Surgery? A Pilot Study:

[摘要] ObjectiveTo examine outcomes of pediatric thyroidectomy in the context of training background, institution, and experience of the surgeon.Study DesignCase series with chart review.SettingA tertiary academic medical center and a pediatric hospital.Subjects and MethodsEighty-one thyroidectomy patients younger than 18 years. Outcomes were major complications (recurrent laryngeal nerve injury, permanent hypocalcemia, and wound infection), length of stay (LOS), and need for repeat surgery.ResultsEighty-one patients, 39 from the University of Nebraska Medical Center and 42 from the Children’s Hospital and Medical Center–Omaha, were identified over a 12-year time period. No difference was found in surgeon training (otolaryngology/head and neck surgery vs general/pediatric surgery) for complications (1 vs 1, odds ratio [OR] = 0.76, 95% confidence interval [CI] = [0.05, 13.1]), LOS >1 day (5 vs 13, OR = 0.39, 95% CI = [0.13, 1.24]), or need for second surgery (4 vs 7, OR = 1.47, 95% CI = [0.39, 5.49]). Higher surg...

[学科分类] 外科医学

[关键词] pediatric;thyroidectomy;papillary;carcinoma;volume