<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992014000200091</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbilidad posquirúrgica en pacientes sometidos a tiroidectomía en el hospital general de Acapulco. Tres años de experiencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Postoperative morbidity in patients undergoing thyroidectomy in general hospital of Acapulco: A three-year experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Bello]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Real]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes García]]></surname>
<given-names><![CDATA[Ma. Azucena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaria de Salud del Estado de Guerrero Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[ Gro]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>91</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000200091&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000200091&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000200091&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Antecedentes: El estado de Guerrero es área endémica de bocio y la cirugía de tiroides continua siendo un gran reto para los cirujanos debido a las complicaciones postoperatorias. Solo existe un estudio reportado en nuestro estado acerca de los resultados de la cirugía tiroidea por lo que decidimos reportar la experiencia actual en el manejo de estos pacientes. Pacientes y métodos: Estudio retrospectivo y descriptivo incluyéndose los pacientes sometidos a cirugía de tiroides en un periodo de 3 años (2008-2011). Las variables estudiadas fueron: Tipo de cirugía, sitio quirúrgico, diagnóstico preoperatorio, morbilidad post quirúrgica, edad y género. El análisis estadístico fue por medio de estadística descriptiva de cada variable, distribución de Frecuencia medidas de tendencia central: Moda, Mediana, y mediana. Resultados: Se incluyeron 79 pacientes, edad de 20 a 80 años, 75 pacientes de sexo femenino (95%) y 4 del sexo masculino (5%). Los diagnósticos preoperatorios fueron: Bocio multinodular 39 casos (49.4 %), Bocio coloide multinodular en 20 casos (25%), y 4 presuntivos de cáncer (5%); se realizaron 41 (52%) tiroidectomías totales y 38 (48%) hemitiroidectomía. Morbilidad posoperatoria: 11 pacientes (13.9%) con hipocalcemia transitoria resuelta durante su estancia intrahospitalaria, 3 (3.8%) casos de parálisis laríngea unilateral. Un paciente (1.2%) ameritó reintervención quirúrgica por hemorragia. No se reportó infección de sitio quirúrgico, lesión a órganos vecinos ni decesos. Conclusión: La morbilidad posquirúrgica en pacientes sometidos a tiroidectomía realizada por Cirujanos Generales en nuestro Hospital es segura y comparable con los reportes de la literatura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Background: The state of Guerrero is endemic goiter area and thyroid surgery continues to pose a challenge to surgeons due to postoperative complications. There is only one study reported in our state about the results of thyroid surgery so we decided to report the current experience in the management of these patients. Patients and methods: Retrospective and descriptive study being included patients undergoing thyroid surgery in a period of 3 years (2008-2011). The variables studied were: type of surgery, surgical site, preoperative diagnosis, post surgical morbidity, age and sex. Statistical analysis was by descriptive statistics of each variable, Frequency distribution of measures of central tendency: Fashion, Small, and Medium. Results: 79 patients, age 20 to 80 years, 75 female patients (95%) male and 4 (5%) were included. The preoperative diagnoses were multinodular goiter 39 cases (49.4%), multinodular colloid goiter in 20 cases (25%), and 4 presumptive cancer (5%); 41 (52%) total thyroidectomy and 38 (48%) were performed hemithyroidectomy. Postoperative Morbidity: 11 patients (13.9%) with transient hypocalcemia resolved during their hospital stay, 3 (3.8%) cases of unilateral laryngeal paralysis. One patient (1.2%) to need reoperation for bleeding. No surgical site infection, injury to adjacent organs or deaths were reported. Conclusion: Postoperative morbidity in patients undergoing thyroidectomy performed by General Surgeons at our hospital is safe and comparable with literature reports.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="en"><![CDATA[Thyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matamoros]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[De los Reyes]]></surname>
<given-names><![CDATA[UA]]></given-names>
</name>
<name>
<surname><![CDATA[Goderich]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<source><![CDATA[Diagnóstico y tratamiento quirúrgico de la enfermedad nodular del tiroides]]></source>
<year>2002</year>
<publisher-loc><![CDATA[Santiago de Cuba ]]></publisher-loc>
<publisher-name><![CDATA[MEDISAN]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Roldán]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Galnares]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Recio]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tiroidectomía de un día]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>1999</year>
<volume>65</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>101</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
<name>
<surname><![CDATA[Fleites]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
<name>
<surname><![CDATA[Cassola]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cirugía tiroidea: principios anatómicos y técnicos para reducir complicaciones]]></article-title>
<source><![CDATA[Revista Cubana Oncología]]></source>
<year>1999</year>
<volume>15</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>81-8</page-range><publisher-loc><![CDATA[Ciudad de La Habana, Cuba ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Cabello]]></surname>
<given-names><![CDATA[IR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anselmo Cabello Aguirre y la primera tiroidectomía en México]]></article-title>
<source><![CDATA[Anales de Medicina en México]]></source>
<year>2008</year>
<volume>53</volume>
<page-range>104-5</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Ochoa]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico y tratamiento del nódulo tiroideo]]></article-title>
<source><![CDATA[Revista de Endocrinología y Nutrición]]></source>
<year>2010</year>
<volume>18</volume>
<page-range>34-50</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
<name>
<surname><![CDATA[Fleites]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
<name>
<surname><![CDATA[Cassola]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cirugía tiroidea: principios anatómicos y técnicos para reducir complicaciones]]></article-title>
<source><![CDATA[Revista Cubana de Oncología]]></source>
<year>2009</year>
<volume>15</volume>
<page-range>81-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brunicarde]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Billiar]]></surname>
<given-names><![CDATA[TR]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual de cirugía Schwartz]]></source>
<year>2008</year>
<edition>8ª</edition>
<page-range>951-70</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Mc Graw Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ríos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Galindo]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Torregrosa]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Canteras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Parrilla]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento quirúrgico del bocio multinodular en pacientes geriátricos]]></article-title>
<source><![CDATA[Cirugía Española]]></source>
<year>2004</year>
<volume>75</volume>
<page-range>85-90</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uzcátegui]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bustillos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hans]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bocio multinodular causa de compresión mediastinal]]></article-title>
<source><![CDATA[MedULA]]></source>
<year>2009</year>
<volume>18</volume>
<page-range>98-102</page-range><publisher-loc><![CDATA[Mérida, Venezuela ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Félix]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Cerdán]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilella]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gastaminza]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La tiroidectomía total en el manejo quirúrgico del hipertiroidismo. Indicaciones, resultados y complicaciones]]></article-title>
<source><![CDATA[Anales de la UNMSM]]></source>
<year>2009</year>
<volume>3</volume>
<page-range>1025-38</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Skandalakis]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgical Anatomy]]></source>
<year>2006</year>
<edition>4ª</edition>
<page-range>654-98</page-range><publisher-loc><![CDATA[Estados Unidos ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Springer Verlag]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harness]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fung]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Burney]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[McLeod]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Total thyroidectomy: complications and technique]]></article-title>
<source><![CDATA[World Journal of Surgery]]></source>
<year>2006</year>
<volume>5</volume>
<page-range>781-5</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pulido]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Basurto]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Cárdenas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sistematización de la técnica de tiroidectomía y su impacto en la morbilidad]]></article-title>
<source><![CDATA[Cirujano General]]></source>
<year>2004</year>
<volume>26</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>286-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Piza]]></surname>
<given-names><![CDATA[BR]]></given-names>
</name>
<name>
<surname><![CDATA[Jurado]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sierra]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones de la tiroidectomía total]]></article-title>
<source><![CDATA[Cirujano general]]></source>
<year>1993</year>
<volume>3</volume>
<page-range>121-3</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marín]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo quirúrgico de la patología benigna de la glándula tiroides]]></article-title>
<source><![CDATA[Cirujano General]]></source>
<year>2010</year>
<volume>32</volume>
<page-range>1-20</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabané]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
<name>
<surname><![CDATA[Amat]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Huidobro]]></surname>
<given-names><![CDATA[GF]]></given-names>
</name>
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of hypocalcemia after total thyroidectomy]]></article-title>
<source><![CDATA[Rev Méd Chile]]></source>
<year>2007</year>
<volume>135</volume>
<page-range>26-30</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kilic]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Keskek]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ertan]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Yoldas]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Bilgin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Koc]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A prospective randomized trial comparing the harmonic scalpel with conventional knot tying in thyroidectomy]]></article-title>
<source><![CDATA[Indian Journal of Otolaryngology and Head and Neck Surgery]]></source>
<year>2006</year>
<volume>3</volume>
<page-range>58-65</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
