Risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases. / Faktory riska i prognozirovanie narushenii golosa posle khirurgicheskogo lecheniia zabolevanii shchitovidnoi i okoloshchitovidnykh zhelez.

AIM: To analyze risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases. MATERIAL AND METHODS: There were 1272 patients who were operated in the endocrine surgery department for the period from January 1, 2016 to April 30, 2017. We studied the incidence of VF paresis, VF paralysis, and persistent dysphonia as clinical outcomes. Potential risk factors have to be analyzed were sex and age of patients, BMI, diagnosis, surgical technique, thyroid volume, experience of the surgeon and assistant, use of intraoperative neuromonitoring, etc. RESULTS: Significant relationships of risk factors with various complications of thyroid surgery were found. In logistic regression analysis, the independent predictors of complications were the following: 1) for VF paresis - extent of surgery and thyroid volume; 2) for VF paralysis - sex, extent of surgery and thyroid volume; 3) for persistent postoperative dysphonia - age and thyroid volume. CONCLUSION: The correlation of various risk factors with development of VF paresis, VF paralysis and persistent dysphonia were identified in patients undergoing thyroid and parathyroid surgery.

[Preferable surgery for benign tumors of the adrenal glands]. / Vybor metoda khirurgicheskogo lecheniia pri dobrokachestvennykh opukholiakh nadpochechnikov.

AIM: To determine optimal surgical approach in patients with adrenal tumors. MATERIAL AND METHODS: Overall experience of treatment of patients with adrenal tumors comprises over 300 procedures including 152 minimally invasive surgeries. RESULTS: We have presented the advantages and relative disadvantages of various technologies which are useful to be considered to determine the most optimal surgery in these patients. CONCLUSION: There are no serious contradictions to use existing surgical methods in patients with adrenal tumors. Minimally invasive procedures along with conventional (open) interventions significantly enlarged rational choice in surgery for adrenal neoplasms and optimized personified approach.