Tiroidectomía mínimamente invasiva abierta comparada con la tiroidectomía convencional en el Servicio de Cirugía del Hospital José Carrasco Arteaga Cuenca 2012-2014

Abstract

Introduction: thyroidectomy is one of the most common surgeries neck level. It has a low morbidity and virtually no mortality, performed by an experienced surgeon. The choice of the incision depends on the clinical features and size of the tumor. Material and methods: Methods: An observational, cross-sectional descriptive with 182 patients who underwent thyroidectomy in the Hospital José Carrasco Arteaga Cuenca was performed. Medical records from 2012 to 2014. The data were transcribed to a digital base and analyzed with SPSS 15.0 software descriptive and inferential analysis was performed using chi square test , odds ratio and comparing medium were reviewed by test Mann- Whitney . Significant values of p < 0.05 was considered statistically. Results: 86.1 % were women, with an average of 52.6 years. Operating time 79.94 minutes with minimally invasive and 106.50 in conventional, p-value = 0.000. The bleeding was 43.58 ml minimally invasive and conventional 65.49 ml, p = 0.010. The length of hospital stay was 2.64 days and 3.06 days, respectively, P < 0.111. Conventional surgery has a higher frequency of use of drains 100 ( 54.9 % ), hypocalcemia 62 ( 34.1%), dysphonia 3 ( 1.6%) and hematomas 3 (1.6 %). No statistically significant differences were observed between complications and surgical techniques, values of p> 0.05. Conclusions: minimally invasive thyroidectomy presents fewer complications and less bleeding volume and time of hospitalization that the conventional thyroidectomy