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Thyroid surgery in children: our experience

Czech version

Authors: P. Zahradnikova 1;  L. Fědorová 1;  J. Babala 1;  I. Béder 1;  J. Staník 3,4;  R. Králik 2
Authors‘ workplace: Klinika detskej chirurgie Lekárskej fakulty Univerzity Komenského a Národný ústav detských chorôb, Bratislava 1;  Klinika onkologickej chirurgie Lekárskej Univerzity Komenského a Onkologický ústav sv. Alžbety, Bratislava 2;  Detská klinika Lekárskej Univerzity Komenského a Národný ústav detských chorôb, Bratislava 3;  Inštitút experimentálnej endokrinológie, Biomedicínske centrum Slovenskej akadémie vied, Bratislava 4
Published in: Rozhl. Chir., 2021, roč. 100, č. 1, s. 21-26.
Category: Original articles
doi: https://doi.org/10.33699/PIS.2021.100.1.21–26

Overview

Introduction: Thyroid surgery in children is a rare operation. The aim of our paper is to point out the specifics of thyroid surgery in children.

Methods: Retrospective analysis of patients hospitalized at the Department of Paediatric Surgery, Faculty of Medicine, Comenius University and National Institute of Children’s Diseases in Bratislava during a 10-year period (2007−2016) who underwent thyroid surgeries.

Results: The retrospective analysis included 81 patients: 66 (81%) girls and 15 (19%) boys. The mean age of the patients was 14 years ±8 months (range 4−18 years). The most common indications for thyroid surgery were: a nodule in 36 (44.4%) patients, Graves Basedow thyrotoxicosis in 19 (23.5%) patients, and suspected thyroid carcinoma in 11 (13.6%) patients. Cervical lymph node metastases (mts) were diagnosed in 9 (11.1%) patients, and distant pulmonary metastases in 5 (6.17%) patients. Total thyroidectomy (TTE) was performed in 43 (53%) patients, total lobectomy (TL) in 20 (24.7%) patients. Extended surgery on regional lymph nodes was performed in 9 (11.1%) patients. Eight (9.9%) patients underwent reoperation. A total of 12 (14.8%) patients experienced postoperative complications. Unilateral transient recurrent laryngeal nerve (RLN) paralysis occurred in 2 patients, and permanent in one patient. Transient postoperative hypoparathyroidism with hypocalcaemia was reported in 8 (9.9%) patients; no permanent condition of this type was observed.

Conclusion: Multidisciplinary collaboration ensures that optimal surgical results are achieved in the patients. Experience of the surgeon performing thyroid surgery in children remains crucial.

Keywords:

thyroid gland − thyroid carcinoma – thyroidectomy − NLR paresis − node in children

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