Abstract
Background: Thyroid gland diseases constitute the second most common endocrine disease following diabetes mellitus. Thyroidectomy is one of the most common frequent operations including bilateral subtotal thyroidectomy and total thyroidectomy. The aim of this study was to review and assess the complications with outcomes following total versus subtotal thyroidectomy. M ethod s: A retrospective analytic study was conducted on 242 benign multinodular goiter ( BMNG ) patients who were divided according to surgical technique into two main groups T and ST. Group T patients were subjected to total thyroidectomy and those of group ST were subjected to subtotal thyroidectomy . Results: No permanent or bilateral recurrent laryngeal nerve ( RLN ) injuries occurred for patients in both groups. Superior laryngeal nerve (SLN) and t emporary RLN injuries were in two in six patients (5%) in ST group and in seven patients in T group (5.8%). No permanent hypoparathyroidism was seen in group ST patients but in one patient (0.8%) of group T; transient hypoparathyroidism occurred in two patients (1.6%) in ST group and in one patient (0.8%) in T group. Conclusion: Total or subtotal thyroidectomy outcomes and complications are similar and depend on good and proper preoperative preparation and the use of a meticulous surgical technique. J Curr Surg. 2014;4(2):40-45 doi: http://dx.doi.org/10.14740/jcs224w
Highlights
The surgical technique is one of the important factors affect-Manuscript accepted for publication June 12, 2014Total thyroidectomy has been accepted as current surgical therapy for benign and malignant thyroidal disorders [4, 5], but extensive resection might increase the risk of postoperative complications [6]
The paradigm has shifted from subtotal resection to extended or total thyroidectomy, which shifts the risk to the vocal cords and parathyroids, where as a rule complications are much worse than those to the thyroid [7]
The three major complications were seen with different percentages in the two types of operations whether subtotal thyroidectomy or total thyroidectomy
Summary
The surgical technique is one of the important factors affect-. Total thyroidectomy has been accepted as current surgical therapy for benign and malignant thyroidal disorders [4, 5], but extensive resection might increase the risk of postoperative complications [6]. Subtotal thyroid resection in the case of benign goiter carries a high risk of recurrence. The paradigm has shifted from subtotal resection to extended or total thyroidectomy, which shifts the risk to the vocal cords and parathyroids, where as a rule complications are much worse than those to the thyroid [7]. RLN dysfunction and hypoparathyroidism are well-recognized important complications of thyroid surgery. Thyroidectomy is one of the most common frequent operations including bilateral subtotal thyroidectomy and total thyroidectomy. The aim of this study was to review and assess the complications with outcomes following total versus subtotal thyroidectomy
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