Review Article
Thyroid Surgery for Elderly Patients: Are They at Increased Operative Risks?
Table 3
A comparison of complications between different elderly surgical series.
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Study/age group | Surgically related complications | Non-surgically related complications | Temporary VC palsy | Permanent VC palsy | Temporary hypocalcemia | Permanent hypocalcemia | Hematoma | Wound infection |
| Bliss et al. [3] | | | | | | | | 50–60 | NA | 1.4% | 5% | 0.2% | 0.9%# | 0.6% | | 61–74 | | 1.6% | 5.2% | 0.1% | 1.2%# | 0.4% | NA | Elderly | | 1.8% | 3.9% | 0.4% | 0.9%# | 0.4% | |
| Passler et al. [16] | | | | | | | | Geriatric |
3.6% | 1.05% | 13.6% | 2.3% | 5.5% | 1.8% | 3.6%∧∧ | Young |
3.3% | 0.26% | 14.1% | 5.4% | 3.5% | 0.4% | 0.6%∧∧ |
| Lang and Lo [5] | | | | | | | | Elderly | 3.6% | 0.9% | 14.5% | 1.8% | 1.8% | 0% | 5.5%∧ | Young | 3.3% | 0.6% | 19% | 1.2% | 0.8% | 0% | 0.4%∧ |
| Sosa et al. [6] | | | | | | | | Superelderly | 3.6% * | 6.6%* | Elderly | 2.4% * | 4.3% * | 45–64 | 1.2% * | 2.2% * | 18–44 | 1.1% * | 1.5%* |
| Mekel et al. [15] | | | | | | | | Elderly | 5.5%* | 18.9% * | 18–79 | 2.5%* | 5.2%* |
| Grogan et al. [4] | (Overall complications) | Superelderly | 5%* | Elderly | 2.2% * | 16–64 | 1% * |
| Syebt et al. [10] | | | | | | | | Elderly | 2.9% | 0% | 6.8% | 0% | | | | Young | 3.9% | 0% | 5.8% | 0% |
NA |
NA |
NA |
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*Statistically significant (). VC: vocal cord.
# Included haematoma with evacuation. ∧Included pneumonia, cardiac complications, and perforated peptic ulcer. ∧∧Included respiratory distress, pneumonia, and paralysis of brachial plexus.
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