Ultrasound and thyroiditis in patient candidates for thyroidectomy.
OBJECTIVE
Thyroiditis is often associated with nodules based on the Bethesda classification system, and the presence of thyroiditis can make thyroid surgery difficult using both conventional techniques and minimally invasive videoassisted approaches (MIVAT).


METHODS
We analyzed 326 patients who underwent total thyroidectomy in 2012. We collected all data in dedicated database. The patients were divided in 4 groups: group 1 no affected by thyroiditis, group 2 affected by thyroiditis, group 3 only histological diagnosis of thyroiditis, group 4all patients affected by thyroiditis.


RESULTS
Group 1 included 201 cases, group 2 included 64 patients, group 3 included 61 patients. No statistically significant difference between group 2 and 3 about Ultrasound (US) examination. Statistically significant difference in incidence of "THYR 3-4" between group 1 and group 4. No differences in MIVAT vs. Conventional group.


CONCLUSIONS
US examination of the thyroid is essential for the diagnostic study of the gland also in the selection of a surgical approach. Thyroiditis is a relative contraindication to MIVAT but the experience of the endocrine surgeon is the most important factor to reduce intra and postoperative complications together a correct collaboration in multidisciplinart endocrinological team.
Operative Unit of General Surgery and Organ Transplantation Department of Surgical Sciences University of Parma, Parma, Italy - paolo.delrio@unipr.it.
P
P
Del Rio
B
B
De Simone
M
M
Fumagalli
L
L
Viani
A
A
Totaro
M
M
Sianesi
D000328:Adult; D000368:Aged; D044963:Biopsy, Fine-Needle; D055154:Dysphonia / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006044:Goiter, Nodular / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D015994:Incidence; D033162:Incidental Findings; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000000981:diagnostic imaging / Q000293:injuries; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013961:Thyroid Gland / Q000000981:diagnostic imaging*; D013964:Thyroid Neoplasms / Q000150:complications / Q000601:surgery*; D016606:Thyroid Nodule / Q000150:complications / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods; D013966:Thyroiditis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology; D014463:Ultrasonography; D020535:Video-Assisted Surgery; D014826:Vocal Cord Paralysis / Q000209:etiology / Q000517:prevention & control