title: Total thyroidectomy in geriatric patients: a retrospective study.
abstract: In the English literature there is no single definition that identifies elderly patients. In our retrospective study, we divided total thyroidectomized patients operated on from 2000 to 2010 in the Department of Surgical Sciences of the "Sapienza" University of Rome, in two groups: group 1 consists of 448 patients over 65 years and group 2 consists of 1275 patients under 65 years. We compared both groups in terms of indications for surgery, histological diagnoses, postoperative complications (laryngeal nerv palsy, hypocalcemia, bleeding and seroma) and mortality. The results showed no statistically significant differences between the two groups with respect to the type of surgical indication, the type of comorbidities, the incidence of postoperative complications and perioperative mortality. The only data discordant with those in the international literature was the incidence of neoplastic disease that is found to be slightly greater in group 2. In conclusion, total thyroidectomy in patients over 65 years is a safe procedure and is not burdened with a higher percentage of postoperative complications, even if requires a careful preoperative assessment of risk factors related to comorbidity.
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: francesco.tartaglia@uniroma1.it.
authors.forename: F
authors.initials: F
authors.lastname: Tartaglia
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: giuliarusso84@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Russo
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: sguegliamonica@yahoo.it.
authors.forename: M
authors.initials: M
authors.lastname: Sgueglia
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: sarabl2001@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Blasi
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: giovanni.tortorelli@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Tortorelli
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: luciana.tromba@uniroma1.it.
authors.forename: L
authors.initials: L
authors.lastname: Tromba
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: dimitrikrizzuk@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Krizzuk
authors.affiliation: Department of Surgical Sciences - "Sapienza" University of Rome, Rome, Italy. Electronic address: rfy@libero.it.
authors.forename: R
authors.initials: R
authors.lastname: Merola
mesh_terms: D000368:Aged; D015897:Comorbidity; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000453:epidemiology*; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D019106:Postoperative Hemorrhage / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D013959:Thyroid Diseases / Q000601:surgery*; D013965:Thyroidectomy; D014826:Vocal Cord Paralysis / Q000453:epidemiology*
keywords: Complications in thyroid surgery; Elderly patients; Total thyroidectomy