Total compared with subtotal thyroidectomy in benign nodular disease: personal series and review of published reports.
Eur J Surg
; 164(7): 501-6, 1998 Jul.
Article
em En
| MEDLINE
| ID: mdl-9696971
ABSTRACT
OBJECTIVE:
To evaluate the outcome after total and subtotal thyroidectomy for the treatment of single and multinodular goitres in two comparable groups of patients.DESIGN:
Prospective randomised study.SETTING:
University hospital, Italy.SUBJECTS:
141 Patients operated on for benign goitre from 1975-85.INTERVENTIONS:
69 Patients were randomised to have total thyroidectomy and 72 subtotal thyroidectomy by standard techniques. MAIN OUTCOMEMEASURES:
Temporary or permanent palsy of the recurrent laryngeal nerve, temporary or permanent hypoparathyroidism, recurrence of the goitre, and the incidence of iatrogenic injuries after completion thyroidectomy.RESULTS:
Patients were followed up for a median of 14.5 years (range 10-21). After total thyroidectomy 2 patients (3%) developed temporary palsy of the recurrent laryngeal nerve but there were no permanent lesions; and 24 (35%) developed temporary and 2 (3%) permanent hypoparathyroidism. After subtotal thyroidectomy 2 (3%) developed temporary and 1 (1%) permanent palsy of the recurrent laryngeal nerve; and 13 (18%) developed temporary and 1 (1%) permanent hypoparathyroidism. In addition, there were 10 recurrent goitres (14%). After completion thyroidectomy (n = 9) there were 2 cases of temporary and 1 of permanent palsy of the recurrent laryngeal nerve, and 2 cases of temporary and 2 of permanent hypoparathyroidism.CONCLUSION:
Total thyroidectomy is the procedure of choice for the treatment of benign nodular goitre.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tireoidectomia
/
Bócio Nodular
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Surg
Ano de publicação:
1998
Tipo de documento:
Article
País de afiliação:
Itália