[Surgical tactics in benign nodal lesions of the thyroid]

Results of surgical treatment of 2307 patients with different forms of thyroid nodal diseases over 11 years (1989-2000) were analyzed. It is necessary to perform organ-saving operations to reduce postoperative complications rate and save hormone-producing function of the thyroid gland: after thyroid resection the rate of postoperative hypothyrosis was 7.9%, after hemithyreoidectomy and subtotal resection--92.4%. Recurrence was revealed in 10.7% cases in 3.7 years, on the average, that testifies to radical surgery. Resection with removal of node in limits of intact tissue was performed according to the results of morphologic examination of both node and surrounding thyroid tissue: discirculation with fibrosis were seen in 69.7%, dystrophic processes with secondary thyroiditis--in 24.3% cases. Etiology and morphology of the node are the main factors of pathogenesis of recurrence. Organ-saving operations and consideration of endocrinological aspects permitted to cure radically 89.3% patients.