Are total thyroidectomy and loboisthmectomy effective and safe in benign thyroid diseases? An analysis of 420 patients

Yıl 2018, Cilt: 4 Sayı: 1, 26 - 31, 04.01.2018

Hasan Demirhan Bahtiyar Hamit Ahmet Volkan Sünter Özgür Yiğit

https://doi.org/10.18621/eurj.330435

Öz

Objective. Ideal thyroid surgery is
still a debated issue due to preoperative pathology and varying rates of postoperative
incidental carcinoma and complications. In our clinic loboisthmectomy and
bilateral total thyroidectomy are the treatment of choice in benign nodular
thyroid diseases. The objective of this study was to analyse effectiveness and
safety of bilateral total thyroidectomy and loboisthmectomy for treating benign
thyroid diseases. Methods. Patient charts of
the subjects that have undergone thyroid surgery due to benign thyroid diseases
between 2009-2015 were evaluated retrospectively. We extracted data including number of
patients, type of surgery, preoperative and postoperative pathologies and postoperative
complications from departments medical records. Results.
Four hundred and twenty patients including 98 (23.3%) male and 322 (76.7%)
females aged between 14-80 years (mean; 47.3 ± 12.5) were included into the
study. Bilateral total thyroidectomy was performed in 348 (82.9%) patients and
loboisthmectomy was performed in 72 (17.1%). Mean duration of follow-up was 41
(range: 15-70) months. Incidental thyroid carcinoma rate was 24.5% (n = 103) in
postoperative pathological examination. Temporary and permanent hypocalcemia
was seen in 53 (15.2%) patients and 8 (2.3%), respectively. Permanent and
transient recurrent laryngeal nerve palsy rate were 2.6% and 2.1%,
respectively. Postoperative hematoma was observed in 7 (1.7%) patients. Conclusions. Incidental thyroid carcinoma
is frequent in patients who had surgical operation for benign thyroid diseases.
When revision surgeries and additional complications due to revision surgery in
the remaining cases are kept in mind, bilateral total thyroidectomy or loboisthmectomy
at the minimum can be considered as the ideal surgical approach for benign
thyroid diseases. 

Anahtar Kelimeler

Benign thyroid disease, multinodular goiter, thyroid surgery, papillary thyroid microcarcinoma, hypoparathyroidism

Kaynakça

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