Should Subtotal Thyroidectomy Be Abandoned in Multinodular Goiter Patients From Endemic Regions Requiring Surgery?
Makaleler > Tam Makale · 2015
Yazarlar: Tayfun YOLDAŞ, Özer MAKAY, Recep Gökhan İÇÖZ, Timur KÖSE, Gulten GEZER, ERKAN KISMALI, Sadık TAMSEL, Süha Süreyya ÖZBEK, Mustafa YILMAZ, Mahir Akyildiz
International Surgery, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2015, cilt 100, ss 9-14
DOI: 10.9738/intsurg-d-13-00275.1
Özet
The most convenient surgical procedure for benign thyroid diseases is still controversial. The aim of this study is to determine the recurrence rate and risk factors for recurrence after different thyroidectomy procedures in multinodular goiter patients. Patients were separated into two groups according to the detection of a recurrent nodule or not after thyroidectomy. Of the 748 patients, 216 (29%) had recurrence, while 532 had no recurrent nodule. The difference between surgical procedures described as subtotal (ST), near total (NT) and total thyroidectomy (TT) was statistically significant. Transient hypoparathyroidism was significantly higher in NT and TT, when compared to ST patients (P < 0.05). Young age, bilateral multinodular goiter and insufficient surgery are risk factors affecting recurrence for benign nodular thyroid disease. Currently, subtotal procedures should be discontinued and total or near total procedures should be preferred. Meanwhile, the probability of a higher risk of hypoparathyroidism should be kept in mind.