Sarcouncil Journal of Medical Series

Abstract: Background: Thyroid surgery is rare in paediatrics, although its frequency has increased in recent years. Objective: The aim of this study is to analyse the clinical outcomes of these procedures in a paediatric surgical center. Patients and methods: We recruited 40 pediatric patients who underwent thyroid surgery, aged between 4 and 13 years, and collected clinical and surgical data in terms of preoperative histological examination, surgical outcomes, complications, and risk factors related to postoperative patients. Results: Our study enrolled illnesses of children who underwent to total thyroidectomy surgery were 30 cases which have Multinodular thyroid goiter was 22.5%, Graves’ disease was 20%, while illnesses of children who underwent to lobectomy surgery was 7 cases, which include benign nodules was 7.5%, uninodullar thyroid goiter was 5%, and central neck dissection (CND) was 3 cases, surgery time, min was 94.42 ± 46.78, blood loss (mL) was 184.61 ± 116.72, blood transfusion included 5 cases, length of stay in hospital ? 2 days was 85% of patients, length of stay in hospital > 2 days was 15% of patients, Intensive care unit admission was 4 cases, the mortality rate was 2 cases, postoperative complications was 10 cases. Our findings shown the quality of life, which identify into physical function, was 93.10 ± 2.56, social and emotional aspects were 87.38 ± 4.80, psychology function was 82.63 ± 5.89, and daily activity aspect was 84.44 ± 6.91. Conclusion: Our current study reported that total thyroidectomy is the preferred, most effective, and safest method of treatment for children, which has contributed to improved quality of life, fewer complications, shorter operative time, and reduced adverse long-term outcomes