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Thyroidectomy in patients with a high BMI: a safe surgery?

Abstract :

OBJECTIVE: To study and compare the specific postoperative complications of thyroidectomy in a population with a BMI ≥25 with a population having a BMI below 25.

DESIGN: A prospective study was carried out from September 2010 to January 2013.

METHODS: Postoperative calcemia, laryngeal mobility, bleeding or infectious complications, postoperative hospital stay, and operation time were studied and compared statistically by a χ(2)-test or Student's t-test.

RESULTS: A total of 240 patients underwent total thyroidectomy and 126 underwent a partial thyroidectomy. Of them, 168 patients had a BMI below 25 and 198 patients had a BMI ≥25. There was no statistically significant difference in the occurrence of early or permanent hypoparathyroidism, recurrent laryngeal nerve palsy, bleeding complications, or postoperative duration of hospital stay. There was, however, a significant operative time in patients with a BMI ≥25.

CONCLUSION: Despite the longer operative time, thyroidectomy (total or partial) can be performed safely in patients with a BMI ≥25.

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https://hal.univ-angers.fr/hal-03269728
Contributeur : Okina Université d'Angers <>
Soumis le : jeudi 24 juin 2021 - 11:34:43
Dernière modification le : mardi 13 juillet 2021 - 03:18:52

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J.B. Finel, Stéphanie Mucci, Frédéric Branger, Aurélien Venara, P. Lenaoures, et al.. Thyroidectomy in patients with a high BMI: a safe surgery?. European journal of endocrinology, 2014, 171 (1), pp.99-105. ⟨10.1530/EJE-14-0063⟩. ⟨hal-03269728⟩

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