A total thyreoidectomia hatásossága és biztonságossága a jóindulatú multinodularis golyvák kezelésében.

Translated title of the contribution: [Effectiveness and safety of total thyroidectomy in the management of benign multinodular goiters].

I. Gál, Tamás Solymosi, Gyula Lukács-Tóth, G. Wéber

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The appropriate surgical procedure for benign multinodular goiters is debated. We report our clinical experience of performing total thyroidectomy for multinodular goiters, focusing on the outcome and complications to evaluate the efficacy and safety. The medical records of 264 patients who underwent total thyroidectomy for multinodular goiter between 2000 and 2006 were reviewed retrospectively. We examined the indications for operation, average hospital stay, early and late postoperative complications, the results of the final pathology in particular the frequency of incidental thyroid cancers and the recurrence rates after an average 6.2 years follow-up. The results were compared to literature data. The indications for surgery were compression and/or dislocation of the trachea in 174 (65.9%) patients, hyperthyreodism in 74 (28%) and cosmetic problems in others. The mean hospital stay was 4 days. Thirty-one patients (11.7%) had transient hypocalcaemia, but only 1 (0.3%) was symptomatic, and only 4 (1.5%) had permanent hypocalcaemia. Other complications included hematoma 4 (1.5%), temporary unilateral recurrent laryngeal nerve palsy 7 (2.6%), permanent unilateral laryngeal nerve palsy 2 (0.75%), and seroma in 8 (3%) cases. Incidental thyroid carcinomas were found on hystology in 9 (3.5%) patients. No recurrence was observed during the follow-up. Total thyroidectomy may be the procedure of choice for the surgical management of benign multinodular goiter.

Original languageHungarian
Pages (from-to)245-249
Number of pages5
JournalMagyar sebészet
Volume66
Issue number5
Publication statusPublished - Oct 2013

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Thyroidectomy
Goiter
Safety
Hypocalcemia
Thyroid Neoplasms
Length of Stay
Laryngeal Nerves
Seroma
Recurrence
Vocal Cord Paralysis
Trachea
Cosmetics
Paralysis
Hematoma
Medical Records
Pathology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A total thyreoidectomia hatásossága és biztonságossága a jóindulatú multinodularis golyvák kezelésében. / Gál, I.; Solymosi, Tamás; Lukács-Tóth, Gyula; Wéber, G.

In: Magyar sebészet, Vol. 66, No. 5, 10.2013, p. 245-249.

Research output: Contribution to journalArticle

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abstract = "The appropriate surgical procedure for benign multinodular goiters is debated. We report our clinical experience of performing total thyroidectomy for multinodular goiters, focusing on the outcome and complications to evaluate the efficacy and safety. The medical records of 264 patients who underwent total thyroidectomy for multinodular goiter between 2000 and 2006 were reviewed retrospectively. We examined the indications for operation, average hospital stay, early and late postoperative complications, the results of the final pathology in particular the frequency of incidental thyroid cancers and the recurrence rates after an average 6.2 years follow-up. The results were compared to literature data. The indications for surgery were compression and/or dislocation of the trachea in 174 (65.9{\%}) patients, hyperthyreodism in 74 (28{\%}) and cosmetic problems in others. The mean hospital stay was 4 days. Thirty-one patients (11.7{\%}) had transient hypocalcaemia, but only 1 (0.3{\%}) was symptomatic, and only 4 (1.5{\%}) had permanent hypocalcaemia. Other complications included hematoma 4 (1.5{\%}), temporary unilateral recurrent laryngeal nerve palsy 7 (2.6{\%}), permanent unilateral laryngeal nerve palsy 2 (0.75{\%}), and seroma in 8 (3{\%}) cases. Incidental thyroid carcinomas were found on hystology in 9 (3.5{\%}) patients. No recurrence was observed during the follow-up. Total thyroidectomy may be the procedure of choice for the surgical management of benign multinodular goiter.",
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