Background: Thyroidectomy for giant goiter is a surgical challenge due to distorted and displaced anatomy. The aim of this study is to evaluate the relationship between giant goiter and its operative complications. Ma...Background: Thyroidectomy for giant goiter is a surgical challenge due to distorted and displaced anatomy. The aim of this study is to evaluate the relationship between giant goiter and its operative complications. Material and Methods: A retrospective multicenter study of consecutive patients who had thyroid surgery was conducted, including 639 patients who undergone thyroidectomy in State hospital at Van and Corlu city—Turkey. Seven cases had giant goiter in the patients. Total thyroidectomy was performed all patients. Results: All patients were women. The mean weight of glands removed was 689 gr in giant goiter’s patients. Two operative complications had happened;right site injury of the external branch of the superior laryngeal nerve had happened to one patient;hypocalcemia was happened to another one patient. In those two patients previously were operated partial thyroidectomy. Conclusions: Thyroidectomy for a massively enlarged goiter is technically challenging. The predominant operative complications were related to previously operate and the thyroid gland due to distorted and displaced anatomy. The surgical approach to such cases requires carefully preoperative evaluation and planning. Especially, using of intraoperative nerve monitoring is to be useful in these difficult cases which previously had undergone surgery.展开更多
Background The corpus callosum(CC)is the most targeted region in the cerebrum that integrates cognitive data between homologous areas in the right and left hemispheres.Aims Our study used statistical analysis to deter...Background The corpus callosum(CC)is the most targeted region in the cerebrum that integrates cognitive data between homologous areas in the right and left hemispheres.Aims Our study used statistical analysis to determine whether there was a correlation between shape changes in the CC in patients with schizophrenia(SZ)(deficit syndrome(DS)and non-deficit syndrome(NDS))and healthy control(HC)subjects.Methods This study consisted of 27 HC subjects and 50 schizophrenic patients(20 with DS and 30 with NDS).3 patients with DS and 4 patients with NDS were excluded.Three-dimensional,sagittal,T1-spoiled,gradient-echo imaging was used.Standard anatomical landmarks were selected and marked on each image using specific software.results As to comparing the Procrustes mean shapes of the CC,statistically significant differences were observed between HC and SZ(DS+NDS)(p=0.017,James’s Fj=73.732),HC and DS(p<0.001,James’s Fj=140.843),HC and NDS(p=0.006,James’s Fj=89.178)and also DS and NDS(p<0.001,James’s Fj=152.967).Shape variability in the form of CC was 0.131,0.085,0.082 and 0.086 in the HC,SZ(DS+NDS),DS and NDS groups,respectively.Conclusions This study reveals callosal shape variations in patients with SZ and their DS and NDS subgroups that take into account the CC’s topographic distribution.展开更多
文摘Background: Thyroidectomy for giant goiter is a surgical challenge due to distorted and displaced anatomy. The aim of this study is to evaluate the relationship between giant goiter and its operative complications. Material and Methods: A retrospective multicenter study of consecutive patients who had thyroid surgery was conducted, including 639 patients who undergone thyroidectomy in State hospital at Van and Corlu city—Turkey. Seven cases had giant goiter in the patients. Total thyroidectomy was performed all patients. Results: All patients were women. The mean weight of glands removed was 689 gr in giant goiter’s patients. Two operative complications had happened;right site injury of the external branch of the superior laryngeal nerve had happened to one patient;hypocalcemia was happened to another one patient. In those two patients previously were operated partial thyroidectomy. Conclusions: Thyroidectomy for a massively enlarged goiter is technically challenging. The predominant operative complications were related to previously operate and the thyroid gland due to distorted and displaced anatomy. The surgical approach to such cases requires carefully preoperative evaluation and planning. Especially, using of intraoperative nerve monitoring is to be useful in these difficult cases which previously had undergone surgery.
文摘Background The corpus callosum(CC)is the most targeted region in the cerebrum that integrates cognitive data between homologous areas in the right and left hemispheres.Aims Our study used statistical analysis to determine whether there was a correlation between shape changes in the CC in patients with schizophrenia(SZ)(deficit syndrome(DS)and non-deficit syndrome(NDS))and healthy control(HC)subjects.Methods This study consisted of 27 HC subjects and 50 schizophrenic patients(20 with DS and 30 with NDS).3 patients with DS and 4 patients with NDS were excluded.Three-dimensional,sagittal,T1-spoiled,gradient-echo imaging was used.Standard anatomical landmarks were selected and marked on each image using specific software.results As to comparing the Procrustes mean shapes of the CC,statistically significant differences were observed between HC and SZ(DS+NDS)(p=0.017,James’s Fj=73.732),HC and DS(p<0.001,James’s Fj=140.843),HC and NDS(p=0.006,James’s Fj=89.178)and also DS and NDS(p<0.001,James’s Fj=152.967).Shape variability in the form of CC was 0.131,0.085,0.082 and 0.086 in the HC,SZ(DS+NDS),DS and NDS groups,respectively.Conclusions This study reveals callosal shape variations in patients with SZ and their DS and NDS subgroups that take into account the CC’s topographic distribution.
