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Updated: Aug 30, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
[Quantification of the risk of relapses after thyroid loboisthmusectomy for benign thyroid nodules]
Gregorio Scerrino1, Gianfranco Cocorullo, Nunzia Cinzia Paladino
1Università degli Studi di Palermo, Facoltà di Medicina e Chirurgia, Dipartimento GEN.UR.TO., Unità Operativa di Chirurgia Generale e d'Urgenza. gregorioscerrino@virgilio.it
Aim Of The Study:
To evaluate correlations between pre-operating epidemiological, clinical and diagnostic data and relapses concerning to patients operated on for benign thyroid nodules.
Material And Methods:
The AA. carried out a new ultrasonographic exam in 155 patients selected at random among 1012 treated by thyroid lobectomy between September 1976 and December 2002; 107 relapses were found (69%). The obtained data are analysed by chi2 test and a significant correlation between recurrence and data preceding first operation was found: non-homogeneous thyroid structure, multiple nodules, presence of peri-lesional halo, anti-thyroid antibodies, and non-adenomatous histological structure.
Conclusion:
The AA. conclude that it is possible to establish a "high risk" population; in spite of that, the high risk of relapse related to low surgical risk of total thyroidectomy suggest a more aggressive surgical procedure at the moment of first operation.

