Application of bipolar electrocoagulation forceps in operation of giant goiter in the elderly

doi:10.3877/cma.j.issn.2095-8757.2019.03.012

Abstract

Abstract:

Objective

To investigate the effect and safety of bipolar electrocoagulation in the operation of giant goiter in the elderly.

Methods

From October 2014 to September 2018, 18 elderly patients with giant goiter admitted to Yantai Affiliated Hospital of Binzhou Medical University were slected. The clinical data were retrospectively analyzed, including the operation time, hospitalization time, intraoperative blood loss and related complications.

Results

Among them, 13 underwent thyroidectomy and 5 underwent total resection. Three of them underwent tracheal suspension and one underwent tracheotomy. The operation time was 55~110 (57.3±11.6) min, the intraoperative blood loss was 30~80 (39.8±27.1) ml, the hospitalization time was 7~11 (7.8±2.6) d. There were 3 cases of transient hoarseness, 1 case of permanent hoarseness, 2 cases of temporary hypocalcemia and 1 case of permanent hypocalcemia.There were no perioperative deaths.

Conclusion

Bipolar electrocoagulation is safe and effective for the treatment of elderly giant goiter, and it is worthy popularizing and applying.

Key words: Goiter, Bipolar electrocoagulation forceps, Surgical treatment

Weigang Cao, Zhenlin Yang. Application of bipolar electrocoagulation forceps in operation of giant goiter in the elderly[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2019, 06(03): 47-49.

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References 10

[1]	Pradeep PV, Sattar V, Krishnachaithanya K, et al. Huge thyromegaly: challenges in the management[J]. ANZ J Surg, 2011, 81(5):398-400.
[2]	孙凯旋，刘永兵，薛谨，等. 老年住院患者衰弱状况及其影响因素分析 [J/CD]. 中华老年病研究电子杂志，2017，4（1）：30-35.
[3]	林国樑，张德杰，杨先荣.双极电凝系统对比超声刀在精细被膜解剖下甲状腺手术中的应用效果[J].中国校医，2016，30（11）：857-858.
[4]	周龙翔，俞冬，徐军，等.采用精细化被膜解剖+喉返神经显露法行甲状腺腺叶切除452例临床分析[J].中国普外基础与临床杂志，2013，20（6）：638-642.
[5]	邱堃，王一森，吴元清.双极电凝系统与超声刀在甲状腺手术中应用效果观察[J/CD].中华普外科手术学杂志：电子版，2015，9（6）：47-49
[6]	曹卫刚.FOCUS超声刀在老年甲状腺手术治疗中的应用[J]. 中华老年病研究电子杂志, 2019, 6（1）：30-32.
[7]	胡敏敏，胡光晔，李志宇，等.甲状腺癌术中应用纳米碳示踪剂对甲状旁腺的保护作用[J].中华内分泌外科杂志，2017，11（2）：150- 153.
[8]	孙荣能，赵迎春，曹晓丽．:纳米碳在甲状腺微小乳头状癌手术中对甲状旁腺及喉返神经的保护作用研究[J/CD].中华普外科手术学杂志(电子版)，2018，12（4）：302-305.
[9]	梁英健，马晓春. 高风险老年患者的围手术期综合评估和治疗 [J/CD]. 中华老年病研究电子杂志，2019，6（1）：12-16.
[10]	刘薇，艾宇航. 老年重症患者的营养支持策略 [J]. 中华老年病研究电子杂志，2019，6（1）：17-20.

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