[Surgical treatment of hyperthyroidism]

Area of Science:

• Endocrinology
• Surgical Oncology

Context:

• Hyperthyroidism management presents challenges in balancing therapeutic efficacy with operative risks.
• Near-total thyroidectomy is a common surgical approach for hyperthyroidism.

Purpose:

• To explore peri-operative management strategies and assess the therapeutic effect of surgery for hyperthyroidism.
• To evaluate the safety and efficacy of a specific surgical technique for hyperthyroidism.

Summary:

• Fifty-five hyperthyroidism patients underwent near-total thyroidectomy with careful recurrent laryngeal nerve identification and parathyroid preservation.
• The technique involved ligating the third-rank inferior thyroid arteries to ensure parathyroid blood supply, resulting in no mortality or permanent nerve/parathyroid damage.
• Post-operative hypothyroidism occurred in 57.7% of cases, with normal serum calcium levels.

Impact:

• This surgical approach demonstrates a high safety profile, minimizing operative complications like nerve palsy and hypoparathyroidism.
• The findings highlight the importance of meticulous peri-operative care in achieving excellent results for hyperthyroidism surgery.
• The study provides valuable insights for surgeons managing hyperthyroidism, emphasizing complication prevention.