IMMEDIATE AND URGENT OPERATIONS IN PATIONS WITH THYROID DISEASES COM- PLICATED BY COMPRESSION OF NECK AND MEDIASTINUM
The purpose of the research was to improve the results of surgical treatment of patients with thyroid pathology with life-threatening conditions as a result of compression of the neck and mediastinum organs. From 1973 to 2015, 97 patients with thyroid disease were operated in the Endocrine Surgery Center, they was 0.33% of 29350 patients. All patients had symptoms of compression syndrome. All patients were divided into 2 groups. I group consist of 31 (32.0%) patient who underwent immediately surgical interventions. The second group included 66 (68.0%) patients operated for urgent indications. The mean age of patients operated for immediately reasons was 73.0 ± 1.39 year and for urgent - 63.8 ± 1.51 year (p<0.05). Among the reasons that caused the compression syndrome, the differentiated cancer of the thyroid gland was observed in 50 (51.5%) cases. Benign thyroid diseases caused urgent surgical interventions in 47 (48.5%) patients. Surgical treatment in patients with severe respiratory disorders should be directed primarily at eliminating the cause of respiratory distress and, at the same time, the operation should be as radical as possible. The allocation of immediately and urgent operations increases the possibility of radical surgical interventions, reducing the frequency of postoperative complications.