The outcome of total intracapsular thyroidectomy as a choice of surgery for benign thyroid diseases

Abstract

Background: The prevalence of thyroid diseases is growing which will raise the total amount of thyroid surgeries. The parathyroid glands and the recurrent laryngeal nerve damage are the commonest complications encountered. There is a need for a technique to decrease the chance of damaging these important structures during surgery. Patients and methods: 97 patients with benign thyroid diseases underwent total intracapsular thyroidectomies between January 2020 and April 2022 Results: there was no permanent or temporary affection of the recurrent laryngeal nerve. Three cases had hypocalcemia 2 of which required hospital admission for IV medications. 2 cases showed affection of the external laryngeal nerve which improved after one month Conclusion: Total intracapsular thyroidectomy has a lower rate of complications in benign thyroid diseases as it has less affection of the recurrent laryngeal nerve and the parathyroid glands as both are not encountered during the procedure due to the change of dissection planes.