Endocrine Surgery and Pediatic Surgery Partnership Reduces Complication Rate of Pediatric Thyroidectomy/Endokrin Cerrahisi ile Cocuk Cerrahisi Ortakligi Pediatrik Tiroidektomide Komplikasyon Oranini Azaltir

Objective: Thyroidectomy is not a common procedure performed in childhood. The aim of this study is to evaluate the clinical data and postoperative results of pediatric patients who underwent thyroidectomy in our center performed by a pediatric and an endocrine surgeon working in collaboration. Method: Patients under the age of 18 who underwent thyroidectomy between 2008-2020 were included in this study. Demographic data, clinical data, preoperative evaluation results and postoperative complications were reviewed retrospectively. Results: A total of 21 patients were included in the study. Postoperative bleeding, surgical site infection, transient and permanent recurrent nerve palsy, and permanent hypocalcemia were not detected in any patient. Transient hypocalcemia developed in only 2 patients (9.5%) in the postoperative period. Conclusion: Small sample size and avoiding central neck dissection may also be effective in our low postoperative complication rate. However, it was thought that pediatric thyroidectomy procedure performed by a general surgeon and a pediatric surgeon experienced in endocrine surgery in collaboration may change the postoperative complication rate. Keywords: Adolescent, fine needle aspiration biopsy, pediatric thyroid surgery, thyroid, thyroidectomy, thyroid nodule Amac: Tiroidektomi cocukluk caginda sik uygulanan bir islem degildir. Bu calismanin amaci bir cocuk cerrahi ve bir endokrin cerrahin birlikte calistigi merkezimizde tiroidektomi yapilan cocuk hastalarin klinik verilerini ve ameliyat sonrasi sonuclarini degerlendirmektir. Yontem: Calismaya 2008-2020 yillari arasinda tiroidektomi yapilan 18 yas alti hastalar dahil edildi. Demografik veriler, klinik veriler, ameliyat oncesi degerlendirme sonuclari ve ameliyat sonrasi komplikasyonlar geriye donuk olarak incelendi. Bulgular: Calismaya 21 hasta dahil edildi. Hicbir hastada postoperatif kanama, cerrahi alan enfeksiyonu, gecici veya kalici rekurren sinir felci ve kalici hipokalsemi saptanmadi. Postoperatif donemde sadece 2 hastada (%9,5) gecici hipokalsemi gelisti. Sonuc: Postoperatif komplikasyon oraninin dusuk olmasinda orneklem buyuklugunun kucuk olmasi ve santral boyun diseksiyonunun olmamasi da etkili olabilir. Ancak pediatrik tiroidektomi prosedurunun endokrin cerrahisi konusunda deneyimli bir genel cerrah ve cocuk cerrahi tarafindan birlikte uygulanmasinin postoperatif komplikasyon oranini degistirebilecegi kanisina varilmistir. Anahtar kelimeler: Adolesan, ince igne biyops