Brit J Surg: Analysis of postoperative complications of thyroid myelin cancer.

Surgery is a treatment for patients with thyroid myeloma (MTC).
the risk of complications when determining the scope of surgery.
recently, a study published in British Journal of Surgery, an authoritative journal in the field of surgical diseases, was designed to assess specific outcomes and risk factors for complications after MTC surgery.
identified MTC patients undergoing thyroid surgery from two European prospective quality databases.
hypothyroidism is determined by calcium/active vitamin D therapy.
laryngoscopy can diagnose laryngeal reneural (RLN) paralysis.
if complications are found in the last follow-up visit, they are at least temporary.
researchers used Logistic regression analysis to determine the risk factors for hypothyroidism and RLN paralysis.
650 patients in the study underwent surgery at 69 centers, with a medium age of 56.
subjects had hypothyroidism, RLN paralysis, and bleeding that required re-surgery were 170 (26.2%), 62 (13.7%) and 17 (2.6%), respectively.
factors associated with hypothyroidism include central lymph node cleaning (CLND) (ratio (OR) of 2.20, 95% CI of 1.04 to 4.67), CLND plus one-sided external lymph node cleaning (LLND) (OR 2.D) 78, 1.20 to 6.43), CLND plus two-sided LLND (OR 2.83, 1.13 to 7.05) and four or more thyroid glands (OR 4.18, 1.46 to 12.00).
RLN paralysis is associated with CLND plus LLND (OR 4.04, 1.12 to 14.58) and T4 tumors (OR 12.16, 4.46 to 33.18).
the targeted lymph nodes, 248 (46.2%) of the 537 patients reached N0.
, it can be seen that MTC's postoperative complications are specific and may be associated with the inevitable outcome of the need for a cure in some patients.
.